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1733458

registered interest
date	10/10/2024
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	Mpox: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether, since the PALM007 study has shown the antiviral ingredient tecovirimat does not always reduce the duration of mpox lesions, a mixed stockpile of antiviral agents for mpox is being considered.
tabling member printed	Lord Cashman
uin	HL1489
answer	answer is ministerial correction date of answer 18/10/2024 answer text <p>In addition to the ongoing efforts to control Mpox clade IIb in the United Kingdom, there is widespread planning underway across the Government, including work by the Department, the UK Health Security Agency, and the National Health Service, to prepare for any potential cases of the high consequence infectious disease clades Ia or Ib of Mpox in the UK, and to help prevent onward transmission should any cases be imported.</p><p>An established clinical countermeasures programme is a core component of our pandemic preparedness and response capability. These clinical countermeasures include personal protective equipment and hygiene consumables, vaccines, and therapeutics, such as antivirals. The programme, including the balance of antivirals stockpiled, is informed by scientific and clinical assessment of the evidence base and is kept under review, building on lessons learned from previous outbreaks and emerging evidence on efficacy from ongoing clinical trials in epidemic hotspots.</p><p>The Department has noted the recent PALM007 study. The NHS in England has a duty to make available to patients in England any treatment or product recommended as clinically and cost effective by the National Institute for Health and Care Excellence.</p> answering member printed Baroness Merron question first answered 18/10/2024 10:57:33 answering member 347 label Biography information for Baroness Merron
tabling member	4340 label Biography information for Lord Cashman

1733459

registered interest
date	10/10/2024
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	Genomics: Babies
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government why the Genomics England and NHS England ‘Generation Study’, offering 100,000 newborns whole genome sequencing after birth to diagnose and support a number of genetic conditions, does not include 22q11.2 deletion syndrome which meets the four requisite principles for inclusion.
tabling member printed	Lord Farmer
uin	HL1490
answer	answer is ministerial correction date of answer 18/10/2024 answer text <p>The Generation Study screens for over 200 conditions which were selected on a set of four principles. The expression, or penetrance, of 22q11.2 deletion syndrome is incomplete, meaning that some people with the syndrome may have no features of the condition. For this and many other conditions, including other microdeletion and microduplication syndromes, Genomics England has taken a conservative approach when applying the four principles, selecting only those conditions where penetrance is high and where treatment must be initiated very early in essentially all cases. Genomics England will review and add conditions during the course of the programme, and will publicise information about any review.</p> answering member printed Baroness Merron question first answered 18/10/2024 10:59:16 answering member 347 label Biography information for Baroness Merron
tabling member	4321 label Biography information for Lord Farmer

1733076

registered interest
date	09/10/2024
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	Prescriptions: Prisons
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 8 October (HL957), when they expect considerations on extending the Electronic Prescription Service to conclude, and a decision to be taken.
tabling member printed	Lord Bradley
uin	HL1441
answer	answer is ministerial correction date of answer 18/10/2024 answer text <p>As part of ongoing considerations, NHS England intends to launch a pilot in the coming months extending the Electronic Prescription Service to specific Detained Estate health services in England. Amendments to the National Health Service (Charges for Drugs and Appliances) Regulations 2015 will be made in the autumn, subject to parliamentary time.</p> answering member printed Baroness Merron question first answered 18/10/2024 10:55:59 answering member 347 label Biography information for Baroness Merron
tabling member	452 label Biography information for Lord Bradley

1733097

registered interest
date	09/10/2024
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Family Resources Survey: Ethnic Groups
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what consideration they have given to increasing the number of black and minority ethnic families sampled as part of the Family Resources Survey to improve the available data on poverty among different ethnic groups.
tabling member printed	Baroness Lister of Burtersett
uin	HL1462
answer	answer is ministerial correction date of answer 16/10/2024 answer text <p>In the latest year [2022-23] of the Family Resources Survey approximately 11% of adults were black or minority ethnic individuals. This sample is large enough to provide income and poverty data breakdowns by ethnicity.</p><p> </p><p>The Family Resources Survey sample is drawn by address with stratification of postcode areas by economic standing, such that the achieved sample is representative by economic status. The FRS sample is not drawn by any family characteristic, protected or otherwise, because only the address is known at the point of draw; the address’ occupants are unknown until the later stage of interview. Thus, there is no direct mechanism to alter the issued sample to increase the number of black or minority ethnic families.</p><p> </p><p>We already publish accredited official statistics, including poverty data broken down by ethnicity, in the annual Family Resources Survey-based <a href="https://www.gov.uk/government/collections/households-below-average-income-hbai--2" target="_blank">Households below average income (HBAI) statistics - GOV.UK (www.gov.uk)(opens in a new tab)</a>.</p><p> </p><p>In addition, we use the Family Resources Survey data to publish additional low income data by ethnicity in the <a href="https://www.ethnicity-facts-figures.service.gov.uk/work-pay-and-benefits/" target="_blank">Ethnicity Facts and Figures portal - GOV.UK (www.gov.uk_</a> (opens in new tab).</p> answering member printed Baroness Sherlock question first answered 16/10/2024 11:24:52 answering member 4147 label Biography information for Baroness Sherlock
tabling member	4234 label Biography information for Baroness Lister of Burtersett

1733098

registered interest
date	09/10/2024
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: Rural Areas and Urban Areas
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether their 10-year plan for the NHS will address the distribution of resources between (1) primary and secondary care and (2) urban and rural areas.
tabling member printed	Baroness McIntosh of Pickering
uin	HL1463
answer	answer is ministerial correction date of answer 18/10/2024 answer text <p>General practices (GPs) and primary care have been receiving a smaller proportion of National Health Service resources, and we’re committed to reversing that and shifting the focus of care out of hospitals and into the community. Additionally, we acknowledge the pressing challenge of ensuring that rural areas have the resources to continue serving their patients.</p><p>We have already invested £82 million to recruit 1,000 newly qualified GPs to combat this, and our 10-Year Health Plan will outline steps to shift care from hospitals back to the community and to a Neighbourhood Health Service, which will bring together vital health and care services, ensuring healthcare is closer to home. We will also train more doctors to increase capacity and take the pressure of people currently working in the system.</p> answering member printed Baroness Merron question first answered 18/10/2024 10:58:39 answering member 347 label Biography information for Baroness Merron
tabling member	384 label Biography information for Baroness McIntosh of Pickering

1733099

registered interest
date	09/10/2024
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	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Baroness Merron on 11 September (HL813), whether their definition of "out of areas placement" includes admission to an appropriate independent sector mental health inpatient facility, which is in the patient’s local area and where his or her care co-ordinator can visit regularly.
tabling member printed	Lord Patel of Bradford
uin	HL1464
answer	answer is ministerial correction date of answer 15/10/2024 answer text <p>An out of area placement (OAP) for acute mental health in-patient care happens when a person with assessed acute mental health needs, who requires adult mental health acute inpatient care, is admitted to a unit that does not form part of the usual local network of services.</p><p>By this, we mean an inpatient unit that does not usually admit people living in the catchment of the person’s local community mental health service, and where the person cannot be visited regularly by their care co-ordinator to ensure continuity of care and effective discharge planning.</p><p>Sending Providers are to determine if a placement is classed as an OAP. The definition necessarily allows providers to apply knowledge of local catchment arrangements and the patient’s circumstances in taking a decision if a placement is an OAP. OAPs can occur within one NHS Provider, in other NHS Providers, or in Independent Sector Providers.</p><p>Based on this definition of an adult acute mental health OAP, it is the decision and responsibility of the Sending Provider to submit data identifying the OAP based on the provider’s knowledge of local catchment arrangements and the person’s circumstances. The definition necessarily allows providers the flexibility to make this decision</p><p> </p> answering member printed Baroness Merron question first answered 15/10/2024 14:58:46 answering member 347 label Biography information for Baroness Merron
tabling member	3798 label Biography information for Lord Patel of Bradford

1733113

registered interest
date	09/10/2024
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Defibrillators: VAT
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 that removing VAT on defibrillators would have on the national rollout effort.
tabling member printed	The Lord Bishop of St Albans
uin	HL1478
answer	answer is ministerial correction date of answer 17/10/2024 answer text The Government currently provides VAT reliefs to aid the purchase of defibrillators. For example, when an AED is purchased with funds provided by a charity and then donated to an eligible body no VAT is charged. Furthermore, all state schools in England have been fitted with AEDs.<p> </p>The Government keeps all taxes under review including consideration of impacts. A key consideration for any potential VAT relief is whether savings would be passed on to the consumer, and evidence suggests that savings are not always passed on.<p> </p>VAT is the UK's second largest tax forecast to raise £176 billion in 2024/25, and taxation is a vital source of revenue which helps to fund public services. The Government has no current plans to make changes to the VAT treatment of AEDs.<p> </p><p> </p> answering member printed Lord Livermore question first answered 17/10/2024 13:35:05 answering member 4559 label Biography information for Lord Livermore
tabling member	4308 label Biography information for The Lord Bishop of St Albans

1733114

registered interest
date	09/10/2024
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	Heart Diseases
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to improve survival rates for those who have out-of-hospital cardiac arrests.
tabling member printed	The Lord Bishop of St Albans
uin	HL1479
answer	answer is ministerial correction date of answer 16/10/2024 answer text <p>The Government is committed to improving out-of-hospital cardiac arrests. As part of this commitment, we want to increase access to Automated External Defibrillators (AEDs) in public spaces and reduce inequalities in access to these life saving devices. We have made a further £500,000 available from August 2024 to fulfil existing applications to the Department’s Community AED Fund. The criteria specified for the original grant continues to apply and will go to applications for AEDs in areas where there is the greatest need, including in areas of high footfall, hot spots for cardiac arrest, and areas that already have low access to AEDs.</p> answering member printed Baroness Merron question first answered 16/10/2024 16:47:10 answering member 347 label Biography information for Baroness Merron
tabling member	4308 label Biography information for The Lord Bishop of St Albans

1732625

registered interest
date	08/10/2024
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	Hospices: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to increase funding to hospices in England.
tabling member printed	Lord Bradley
uin	HL1372
answer	answer is ministerial correction date of answer 15/10/2024 answer text <p>The Government is determined to shift more healthcare out of hospitals and into the community, to ensure that patients and their families receive personalised care in the most appropriate setting and palliative and end of life care, including hospices, will have a big role to play in that shift.</p><p>Palliative care services are included in the list of services an integrated care board (ICB) must commission. This promotes a more consistent national approach and supports commissioners in prioritising palliative and end of life care. To support ICBs in this duty, NHS England has published statutory guidance and service specifications.</p><p>Whilst the majority of palliative and end of life care is provided by National Health Service staff and services, we recognise the vital part that voluntary sector organisations, including hospices, also play in providing support to people at end of life and their loved ones.</p><p>Most hospices are charitable, independent organisations which receive some statutory funding for providing NHS services. The amount of funding charitable hospices receive varies by ICB area, and will, in part, be dependent on the breadth of a range of palliative and end of life care provision within their ICB footprint.</p><p>The Department will continue to proactively engage with our stakeholders, including the voluntary sector and independent hospices, on an ongoing basis, in order to understand the issues they face.</p> answering member printed Baroness Merron question first answered 15/10/2024 15:35:54 answering member 347 label Biography information for Baroness Merron
tabling member	452 label Biography information for Lord Bradley

1732628

registered interest
date	08/10/2024
answering body	Northern Ireland Office
answering dept id	21
answering dept short name	Northern Ireland
answering dept sort name	Northern Ireland
hansard heading	Northern Ireland: Elections
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they intend to introduce a procedure to replace a lost postal ballot for elections in Northern Ireland.
tabling member printed	Lord Dodds of Duncairn
uin	HL1377
answer	answer is ministerial correction date of answer 15/10/2024 answer text <p>In Northern Ireland, voters who have spoilt their postal ballot paper or accidentally marked it in a way they had not intended may apply for a replacement postal ballot paper to be issued, providing the original ballot paper and Declaration of Identity document are returned to the Chief Electoral Officer. For security reasons, additional ballot papers are not issued to voters claiming to have lost their original.</p><p> </p><p>The Government has no plans to alter the security provisions currently in place, but we continue to keep all aspects of electoral law under review.</p> answering member printed Baroness Anderson of Stoke-on-Trent question first answered 15/10/2024 12:15:54 answering member 4508 label Biography information for Baroness Anderson of Stoke-on-Trent
tabling member	1388 label Biography information for Lord Dodds of Duncairn