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1623538

registered interest
date	24/04/2023
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	Doctors and Nurses: Training
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what is the cost of training (1) a doctor, and (2) a nurse; and how much of that cost is covered by student loans.
tabling member printed	Lord Lilley
uin	HL7405
answer	answer is ministerial correction date of answer 10/05/2023 answer text <p>The Personal Social Services Research Unit (PSSRU) at the University of Kent estimates that the cost of training an individual doctor from the beginning of medical school through to the end of the foundation training programme is approximately £327,000. This includes salaries paid to the trainee during the foundation stage while they are working, living expenses and other costs of training. This includes costs borne by both the wider National Health Service and the individual undertaking the training.</p><p> </p><p>PSSRU estimate the cost of training a nurse to be approximately £67,000. These estimates are published in their Unit Costs of Health and Social Care Manual.</p><p> </p><p>The maximum amount that can be borrowed in student loans by an individual medical student is between £74,000 and £93,000 for a five-year course, depending on the individual’s living arrangements. From year five of an undergraduate course, and from year two of a graduate-entry course, medical students can also access the NHS Bursary. This is non-repayable and comprises payment for tuition fees and, where eligible, further grants and allowances.</p><p> </p><p>The maximum amount that can be borrowed in student loans by an individual nursing student is between £53,000 and £67,000 for a three-year course, depending on the student’s living arrangements. In addition, since September 2020, all eligible nursing, midwifery and allied health profession students have received a non-repayable training grant of a minimum of £5,000 per academic year.</p> answering member printed Lord Markham question first answered 10/05/2023 11:11:03 answering member 4948 label Biography information for Lord Markham
tabling member	68 label Biography information for Lord Lilley

1613211

registered interest
date	21/04/2023
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	Mental Health Services: Children and Young People
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they intend to establish a national access and waiting time standard for children and young people's mental health services, and if so, when; and what plans they have to establish a pathway for young people transitioning from children and young people's mental health services to adult mental health services, in order to collect detailed and accurate numerical data.
tabling member printed	The Marquess of Lothian
uin	HL7376
answer	answer is ministerial correction date of answer 02/05/2023 answer text <p>NHS England has consulted on the potential to introduce five new waiting time standards as part of its clinically-led review of National Health Service access standards, including that children, young people and their families presenting to community-based mental health services should start to receive care within four weeks from referral. As a first step, NHS England has shared and promoted guidance with its local system partners to consistently report waiting times to support the development of a baseline position. NHS England is developing implementation proposals for consideration by Government.</p><p>We are supporting children and young people by expanding mental health services through the NHS Long Term Plan. The Plan sets out the intention to develop a new approach to young adult mental health services for people aged between 18 and 25 years old which will support the transition to adulthood. The Plan will extend current service models to create a comprehensive offer for ages between zero and 25 years old that offers person centered and age appropriate care for mental health needs.</p> answering member printed Lord Markham question first answered 02/05/2023 10:50:53 answering member 4948 label Biography information for Lord Markham
tabling member	259 label Biography information for The Marquess of Lothian

1613215

registered interest
date	21/04/2023
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	Drugs: Advertising
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Markham on 11 April (HL6877), in which legislation it states that advertisements which form part of Government campaigns to encourage routine vaccination uptake “sit outside of the scope of United Kingdom advertising regulations”, and how that is consistent with (1) regulation 280 of the Human Medicines Regulations 2012, and (2) the definition of the promotion of a medicinal product in the MHRA’s Blue Guide as any thing or any activity "designed to promote the prescription, supply, sale or consumption of medicinal products".
tabling member printed	Lord Strathcarron
uin	HL7380
answer	answer is ministerial correction date of answer 27/04/2023 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible, on behalf of Health Ministers, for administering the legislation on advertising medicines as set out in Part 14 of the Human Medicines Regulations 2012, as amended. The relevant definition of an advertisement for a medicine is given in regulation 7. It is the view of the MHRA that materials disseminated by Government bodies in support of a public health campaign are not caught by this definition as they are not ‘designed to promote the prescription, supply, sale or use’ of a specific medicine or medicines. Their purpose is rather to promote public health by encouraging people to seek appropriate medical intervention, in this case uptake of vaccination against COVID-19. On the basis of this view, that Government campaigns are outside the definition outlined in regulation 7, regulation 280 does not apply.</p> answering member printed Lord Markham question first answered 27/04/2023 14:57:18 answering member 4948 label Biography information for Lord Markham
tabling member	4937 label Biography information for Lord Strathcarron

1613039

registered interest
date	20/04/2023
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	Blood: Microplastics
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, in the light of research published in Environment International in February 2022 on the presence of microplastics in human blood, what plans they have for creating a National Plastic Health Research Impact Fund for further research in this area.
tabling member printed	Baroness Bakewell of Hardington Mandeville
uin	HL7326
answer	answer is ministerial correction date of answer 27/04/2023 answer text <p>Since 2018, the Government has committed over £100 million for research and innovation support to tackle the broad range of issues that arise from plastic waste. This includes funding research into the health impacts of plastic through UK Research and Innovation and the National Institute for Health and Care Research. Whilst it is not typical to ring-fence funds for particular topics or conditions, both funders welcome funding applications for research into the health impacts of plastic.</p> answering member printed Lord Markham grouped question UIN HL7327 question first answered 27/04/2023 11:36:17 answering member 4948 label Biography information for Lord Markham
tabling member	4285 label Biography information for Baroness Bakewell of Hardington Mandeville

1613040

registered interest
date	20/04/2023
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	Blood: Microplastics
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, in the light of research published in Environment International in February 2022 on the presence of microplastics in human blood, what steps they will take to increase research into the health impacts of plastic pollution.
tabling member printed	Baroness Bakewell of Hardington Mandeville
uin	HL7327
answer	answer is ministerial correction date of answer 27/04/2023 answer text <p>Since 2018, the Government has committed over £100 million for research and innovation support to tackle the broad range of issues that arise from plastic waste. This includes funding research into the health impacts of plastic through UK Research and Innovation and the National Institute for Health and Care Research. Whilst it is not typical to ring-fence funds for particular topics or conditions, both funders welcome funding applications for research into the health impacts of plastic.</p> answering member printed Lord Markham grouped question UIN HL7326 question first answered 27/04/2023 11:36:17 answering member 4948 label Biography information for Lord Markham
tabling member	4285 label Biography information for Baroness Bakewell of Hardington Mandeville

1613055

registered interest
date	20/04/2023
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	Coronavirus: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what has been the total cost to date of the COVID-19 vaccination programme.
tabling member printed	Lord Dobbs
uin	HL7342
answer	answer is ministerial correction date of answer 05/05/2023 answer text <p>The total cost to date of the COVID-19 vaccination programme is approximately £7.3 billion.</p> answering member printed Lord Markham question first answered 05/05/2023 11:16:43 answering member 4948 label Biography information for Lord Markham
tabling member	4192 label Biography information for Lord Dobbs

1613056

registered interest
date	20/04/2023
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	Coronavirus: Death
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what is the total number of deaths in the UK to date attributed to COVID-19.
tabling member printed	Lord Dobbs
uin	HL7343
answer	answer is ministerial correction date of answer 05/05/2023 answer text <p>The Government records deaths attributed to COVID-19 in the following ways: deaths that have COVID-19 recorded on their death certificate/registration; and any death that occurs 28 days after a positive COVID-19 test.</p><p> </p><p>As of 24 March, 223,396 deaths in the United Kingdom have had COVID-19 recorded on death certificates/registrations.</p><p> </p><p>As of 17 April, 213,637 deaths have been recorded in the UK 28 days after a positive COVID-19 test.</p><p> </p><p>These two measures serve different purposes. Death registrations are a reference for overall death toll from COVID-19 (along with excess mortality estimates) and the 28-day death measure is most useful as a rapid indicator of death following COVID-19 infection, with peak utility when a new variant emerges, or during a new wave which requires timely monitoring of severity for public health purposes.</p> answering member printed Lord Markham question first answered 05/05/2023 11:21:07 answering member 4948 label Biography information for Lord Markham
tabling member	4192 label Biography information for Lord Dobbs

1612597

registered interest
date	19/04/2023
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	Gender Identity Development Service: Suicide
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many young people (1) who were on the waiting list for the Gender Identity Development Service, and (2) who had already been seen by that service, died by suicide in (a) 2021 and (b) 2022.
tabling member printed	Lord Blencathra
uin	HL7271
answer	answer is ministerial correction date of answer 25/04/2023 answer text <p>This information is not held centrally.</p> answering member printed Lord Markham question first answered 25/04/2023 13:03:42 answering member 4948 label Biography information for Lord Markham
tabling member	497 label Biography information for Lord Blencathra

1612598

registered interest
date	19/04/2023
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	Gender Identity Development Service: Children and Young people
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to restrict staff implicated in criticism of the Gender Identity Development Service from taking up positions at the new regional centres for gender identity services for children and young people.
tabling member printed	Lord Blencathra
uin	HL7272
answer	answer is ministerial correction date of answer 04/05/2023 answer text <p>The Department has been clear that the interim services must fully reflect the recommendations from the Cass Review, which differ significantly to the services currently provided at Tavistock and Portman NHS Foundation Trust.</p><p> </p><p>NHS England will continue to work closely with providers to oversee the development of services.</p><p> </p><p>The new services are building multi-disciplinary teams of specialists to provide care to the children and young people referred to these services. This is in line with the Cass Review’s recommended approach, however, they will need to include expertise in treating gender dysphoria in children, alongside other clinical disciplines, of which there is nationally a small pool of specialists. The transformation programme aims to ensure the new teams have the relevant expertise needed to deliver the service. Any staff that move from the Gender Identity Development Service to the new services will be fully signed up to the new clinical model set out by Dr Cass.</p> answering member printed Lord Markham question first answered 04/05/2023 13:59:56 answering member 4948 label Biography information for Lord Markham
tabling member	497 label Biography information for Lord Blencathra

1612611

registered interest
date	19/04/2023
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	Diphtheria
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 incidence and impact of diphtheria in the UK.
tabling member printed	Lord Roberts of Llandudno
uin	HL7295
answer	answer is ministerial correction date of answer 19/05/2023 answer text <p>There is an effective vaccine against diphtheria which in the United Kingdom is offered as part of the routine childhood programme. Vaccination offers high levels of protection against symptomatic disease, meaning that it is a very rare infection in the UK where vaccination coverage is high. The risk of diphtheria to the general UK public therefore remains very low.</p><p>There was an increase in the number of cases of diphtheria detected among people seeking asylum in the last quarter of 2022, with a total of 73 confirmed cases of diphtheria among this population in England in 2022 and one case confirmed so far in 2023. The majority of these cases were detected in people arriving via small boat Channel crossings. There have been no linked cases in workers in asylum seeker settings or linked cases in the general public.</p><p>The UK Health Security Agency, Home Office and NHS England are working with local partners to put measures in place to manage the risk of diphtheria in this population.</p> answering member printed Lord Markham grouped question UIN HL7297 question first answered 19/05/2023 13:36:58 answering member 4948 label Biography information for Lord Markham
tabling member	3691 label Biography information for Lord Roberts of Llandudno