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773535

registered interest
date	19/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Act 1983 Independent Review
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to ensure that patients, carers and clinicians are fully consulted during the independent review of the Mental Health Act 1983.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL2250
answer	answer is ministerial correction date of answer 02/11/2017 answer text <p>On 4 October 2017, the Prime Minister announced an independent review of mental health legislation and practice to tackle the issue of mental health detention on 4 October 2017.</p><p> </p><p>The independent review will be chaired by Professor Sir Simon Wessely, a former President of the Royal College of Psychiatrists. As detailed in the review’s Terms of Reference, the government has commissioned Sir Simon to conduct the review using principles of co-production, working closely with service users, carers, relevant professionals, and impacted organisations in all aspects of its work. The review will seek to make recommendations to Government, which has broad support from these groups.</p> answering member printed Lord O'Shaughnessy question first answered 02/11/2017 12:58:18 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

773536

registered interest
date	19/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the decrease in inpatient psychiatric beds and any relationship this may have to the increase in the use of the Mental Health Act 1983.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL2251
answer	answer is ministerial correction date of answer 02/11/2017 answer text <p>The Prime Minister announced an independent review of mental health legislation and practice to tackle the issue of mental health detention on 4 October 2017. The independent review will look at a range of issues, and central to this will be a consideration of why rates of detention are increasing, and what can be done to reduce inappropriate detention and improve how different agencies respond to people in crisis. The review will make recommendations to Government in 2018.</p><p> </p><p>In addition to this, NHS England is considering the findings of the independent Commission to review the provision of acute inpatient psychiatric care for adults and intends to publish a response shortly. The Commission was established by the Royal College of Psychiatrists in January 2015 to review the provision of acute inpatient psychiatric beds. Its report <em>Old problems New Solutions: Improving acute psychiatric care for adults in England</em>, published in January 2016, made a number of recommendations for improving the service. A copy of the report is attached.</p> answering member printed Lord O'Shaughnessy question first answered 02/11/2017 13:00:41 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Old_Problems_New_Solutions_CAAPC_Report_England.pdf title Report on psychiatric care
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

773537

registered interest
date	19/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to ensure mental health issues are addressed before patients reach a state where they need to be detained under the Mental Health Act 1983.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL2252
answer	answer is ministerial correction date of answer 02/11/2017 answer text <p>On 4 October 2017, the Prime Minister announced an independent review of mental health legislation and practice to tackle the issue of mental health detention. The independent review will look at a range of issues, and central to this will be a consideration of why rates of detention are increasing and what can be done to reduce inappropriate detention and improve how different agencies respond to people in crisis. The review will make recommendations to Government in 2018.</p><p> </p><p>The Government recognises that improved community mental health services need to be in place, to support people before their mental health deteriorates to the point they need to be detained under the Mental Health Act. Crisis Resolution and Home Treatment Teams will therefore receive £400 million in additional funding by 2021, to ensure that they can offer a responsive service at all times of the day.</p><p> </p><p>The Government is also investing £247 million to 2021 in mental health support in hospital emergency departments, and police forces are working National Health Service partners to deliver street triage services to support people with immediate mental health needs. The Government has already introduced a waiting time standard to help ensure that people receive rapid access to Early Intervention in Psychosis services, and in August 2017, 75.3% of patients started treatment within two weeks of referral.</p><p> </p><p>On 18 October, the Government launched a new £15 million scheme, Beyond Places of Safety. This will seek to fund services in 2018/19 and 2019/20, including places of calm and crisis cafes, that offer support to people who are at risk of mental health crisis.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL2253 question first answered 02/11/2017 12:59:24 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

773538

registered interest
date	19/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the link between good community mental health services and lower rates of detention under the Mental Health Act 1983.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL2253
answer	answer is ministerial correction date of answer 02/11/2017 answer text <p>On 4 October 2017, the Prime Minister announced an independent review of mental health legislation and practice to tackle the issue of mental health detention. The independent review will look at a range of issues, and central to this will be a consideration of why rates of detention are increasing and what can be done to reduce inappropriate detention and improve how different agencies respond to people in crisis. The review will make recommendations to Government in 2018.</p><p> </p><p>The Government recognises that improved community mental health services need to be in place, to support people before their mental health deteriorates to the point they need to be detained under the Mental Health Act. Crisis Resolution and Home Treatment Teams will therefore receive £400 million in additional funding by 2021, to ensure that they can offer a responsive service at all times of the day.</p><p> </p><p>The Government is also investing £247 million to 2021 in mental health support in hospital emergency departments, and police forces are working National Health Service partners to deliver street triage services to support people with immediate mental health needs. The Government has already introduced a waiting time standard to help ensure that people receive rapid access to Early Intervention in Psychosis services, and in August 2017, 75.3% of patients started treatment within two weeks of referral.</p><p> </p><p>On 18 October, the Government launched a new £15 million scheme, Beyond Places of Safety. This will seek to fund services in 2018/19 and 2019/20, including places of calm and crisis cafes, that offer support to people who are at risk of mental health crisis.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL2252 question first answered 02/11/2017 12:59:24 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

773558

registered interest
date	19/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Eggs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of UK eggs not produced within the Red Lion scheme.
tabling member printed	Baroness Kennedy of Cradley
uin	HL2273
answer	answer is ministerial correction date of answer 02/11/2017 answer text <p>The United Kingdom Government has not specifically assessed different egg production schemes.</p> answering member printed Lord O'Shaughnessy question first answered 02/11/2017 14:59:27 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4303 label Biography information for Baroness Kennedy of Cradley

773567

registered interest
date	19/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Side Effects
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have in place to ensure that adverse reactions to drugs and vaccines are reported and acknowledged, and that appropriate medical treatment is subsequently provided to the individuals concerned.
tabling member printed	The Countess of Mar
uin	HL2282
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) encourages anyone to report a suspected adverse reaction to a vaccine or medicine through the Yellow Card Scheme. Every report in which the necessary contact details are provided is acknowledged. The MHRA has a Yellow Card strategy to promote the Scheme and facilitate reporting; most recently this has included the development of a mobile reporting app and a European social media campaign, coordinated by the MHRA. A Yellow Card report is not proof of a side effect occurring, but a suspicion by the reporter that the vaccine may have been the cause. Such reports are kept under continual review to identify potential new risks.</p><p> </p><p>The clinical investigation and care of individuals is the responsibility of their doctors and other healthcare providers who will take appropriate action based on the needs of their patients.</p> answering member printed Lord O'Shaughnessy question first answered 31/10/2017 14:43:19 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar

773568

registered interest
date	19/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Human Papillomavirus: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to ensure that the families of children believed to have suffered serious adverse reactions to human papilloma virus vaccinations are treated with the same levels of dignity and respect accorded to families whose children have other medical conditions.
tabling member printed	The Countess of Mar
uin	HL2283
answer	answer is ministerial correction date of answer 01/11/2017 answer text <p>Anyone suffering ill health deserves access to appropriate clinical investigation and care, and to be treated with dignity and respect. This is an important responsibility of doctors and other healthcare providers.</p><p>The Medicines and Healthcare products Regulatory Agency takes every report of a suspected adverse reaction seriously and has closely evaluated the safety of the human papillomavirus vaccine since the vaccination programme was introduced in the United Kingdom in 2008. All reports, including any submitted by patients and their families, are kept under continual review to identify potential new risks.</p> answering member printed Lord O'Shaughnessy question first answered 01/11/2017 12:47:48 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar

773578

registered interest
date	19/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Older People
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what change there will be in the number of people aged 65 and above by 2030; and what assessment they have made of the demand for an increase in the number of care workers and the need for measures to be introduced to aid recruitment and retention.
tabling member printed	Lord Pendry
uin	HL2293
answer	answer is ministerial correction date of answer 02/11/2017 answer text <p>The Office for National Statistics publishes population projections. The latest forecasts for England between 2017 and 2030 shows there is projected to be a 31% increase from 10,063,400 to 13,166,900 in the number of people aged 65 and over.</p><p> </p><p>The Department is aware that our challenge, working alongside stakeholders in the adult social care sector, is to ensure the workforce has the right number of people to meet increasing demands, with the right skills, knowledge and behaviours to deliver quality, compassionate care. That is why we have set out a plan to attract and retain talented staff, backed by an additional £2 billion investment in the sector over the next three years and a commitment to consult on the future of social care to ensure sustainability in the long term.</p><p> </p><p>Skill for Care publishes projections of the adult social care workforce and they forecast the number of adult social care jobs could increase by 31% (500,000 jobs) to around two million jobs by 2030.</p> answering member printed Lord O'Shaughnessy question first answered 02/11/2017 12:57:33 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	457 label Biography information for Lord Pendry

773581

registered interest
date	19/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Neural Tube Defects
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the scale of the lifetime direct medical costs associated with births affected by neural tube defects compared to those unaffected.
tabling member printed	Lord Rooker
uin	HL2296
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>No assessment has been made by the Department of the lifetime direct medical costs associated with births affected by neural tube defects.</p><p> </p><p>As part of a National Institute of Health and Care Excellence study, Examining the Cost-Effectiveness of Moving the Healthy Start Vitamin Programme from a Targeted To a Universal Offering, A. Filby, M. Taylor, M. Jenks, and V. Birley estimated the additional lifetime healthcare cost of a person born with spina bifida to be £94,458. A copy of this report is attached.</p> answering member printed Lord O'Shaughnessy question first answered 31/10/2017 15:02:38 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name healthy-start-economic-modelling-report.pdf title Healthy Start Programme
tabling member	302 label Biography information for Lord Rooker

773582

registered interest
date	19/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Folic Acid
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the latest estimate of the percentage of women of child-bearing age who are deficient in folic acid.
tabling member printed	Lord Rooker
uin	HL2297
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>Folic acid is the synthetic form of folate. The National Diet and Nutrition Survey provides data on total serum folate and red blood cell folate levels in women of childbearing age in the United Kingdom based on blood samples collected from 2008-2012. 7% of women of childbearing age (16-49 years) had red blood cell folate levels below the clinical threshold indicating risk of anaemia (305 nanomoles per litre (nmol/l)). 3% of women of childbearing age had serum total folate levels below the clinical threshold used by World Health Organization to indicate folate deficiency (6.8nmol/l) and 33% had levels below the threshold indicating possible deficiency (13nmol/l).</p> answering member printed Lord O'Shaughnessy question first answered 31/10/2017 14:45:35 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	302 label Biography information for Lord Rooker