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1698014

registered interest
date	21/03/2024
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	DNACPR Decisions
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what criteria apply to NHS hospitals when requesting patients to sign a 'do not resuscitate' form.
tabling member printed	Baroness Browning
uin	HL3508
answer	answer is ministerial correction date of answer 05/04/2024 answer text <p>There are no set criteria applied to National Health Service hospitals when requesting patients sign do not resuscitate forms. Doctors are required to make do not attempt cardiopulmonary resuscitation (DNACPR) decisions based on the individual circumstances of a patient, and with the involvement of the person concerned or, where the person lacks capacity, their family, or any other legally recognised advocate.</p><p>Patient facing guidance setting out how DNACPR decisions should be made, and how individuals or their families can get support about a DNACPR, is provided on the NHS website, in an online only format.</p> answering member printed Lord Markham question first answered 05/04/2024 13:06:00 answering member 4948 label Biography information for Lord Markham
tabling member	236 label Biography information for Baroness Browning

1698015

registered interest
date	21/03/2024
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	DNACPR Decisions
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many 'do not resuscitate' forms have been signed in each of the past five years.
tabling member printed	Baroness Browning
uin	HL3509
answer	answer is ministerial correction date of answer 05/04/2024 answer text <p>The Department does not hold this data.</p> answering member printed Lord Markham question first answered 05/04/2024 13:06:13 answering member 4948 label Biography information for Lord Markham
tabling member	236 label Biography information for Baroness Browning

1698034

registered interest
date	21/03/2024
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	Covid: Immunosuppression
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of (1) the level of unmet need of immunocompromised patients for protection against COVID-19, and (2) whether the MHRA has sufficient staff so that it can appropriately prioritise regulatory decisions in support of such patients.
tabling member printed	Lord Mendelsohn
uin	HL3528
answer	answer is ministerial correction date of answer 02/04/2024 answer text <p>As set out in the <em>Living with COVID-19 Strategy</em>, the Government and the UK Health Security Agency will continue to communicate to people most vulnerable to COVID-19 about available clinical interventions, including vaccination and treatments, as well as testing and public health advice.</p><p>All individuals aged six months old or above who are immunosuppressed were offered a vaccination in the Autumn 2023 COVID-19 vaccination programme, along with those in other clinical risk groups. The immunosuppressed group will be offered a further dose as part of the spring programme announced in February, that is being rolled out in England from mid-April. This follows the Joint Committee on Vaccination and Immunisation’s advice that those who are immunosuppressed are at particular risk of serious disease from COVID-19.</p><p>The Medicines and Healthcare products Regulatory Agency (MHRA) is looking at novel and standard ways to develop staff capability and expertise. New assessor capacity is being supplemented with an additional fixed-term resource of appropriately experienced and qualified specialists, to support the training and supervision of new staff. The MHRA also continues to recruit to additional roles in its assessment teams.</p> answering member printed Lord Markham question first answered 02/04/2024 14:02:24 answering member 4948 label Biography information for Lord Markham
tabling member	4286 label Biography information for Lord Mendelsohn

1698035

registered interest
date	21/03/2024
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	MMR Vaccine: Pharmacy
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 for community pharmacists to administer the MMR vaccine.
tabling member printed	Baroness Merron
uin	HL3529
answer	answer is ministerial correction date of answer 02/04/2024 answer text <p>As part of the national measles, mumps, and rubella (MMR) improvement plan, NHS England has worked with regional commissioners to assess the potential for community pharmacy to deliver MMR vaccines, as part of a longer-term approach to improving uptake.</p><p>In specific response to the current measles outbreak, some areas have stood up community pharmacy sites on a time-limited basis to deliver the MMR vaccine to specific cohorts, based on local population need. For example, in the North West and the Midlands, National Health Service teams have used community pharmacies to step up their efforts to get more children protected with the MMR vaccine.</p><p>Using community pharmacy in this way will help to test the concept of community pharmacy playing a greater role in the delivery of vaccinations, and will support the integrated care boards’ work to develop a more coherent approach to vaccines, including where, when, and how to deliver them to maximise uptake, particularly in underserved populations.</p> answering member printed Lord Markham question first answered 02/04/2024 13:43:37 answering member 4948 label Biography information for Lord Markham
tabling member	347 label Biography information for Baroness Merron

1698036

registered interest
date	21/03/2024
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	Medicine: Apprentices
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 16 February (HL2398), whether they have increased the maximum funding for medical degree apprentices from £50,000 to £150,000 over the term of the course.
tabling member printed	Baroness Merron
uin	HL3530
answer	answer is ministerial correction date of answer 05/04/2024 answer text <p>The funding of £150,000 to be provided by NHS England per medical degree apprentice is an increase of the funding of £50,000 for medical degree apprentices announced by Health Education England in January 2023.</p> answering member printed Lord Markham question first answered 05/04/2024 13:06:42 answering member 4948 label Biography information for Lord Markham
tabling member	347 label Biography information for Baroness Merron

1698042

registered interest
date	21/03/2024
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	Period Poverty
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of value lost to the economy through period inequity, as set out in the report, The State of Period Equity in the UK, published by In Kind Direct on 29 February.
tabling member printed	The Lord Bishop of St Albans
uin	HL3536
answer	answer is ministerial correction date of answer 02/04/2024 answer text <p>No formal assessment has been made. Menstrual health and gynaecological conditions are a priority in the <em>Women’s Health Strategy for England</em>. This strategy sets out our ambitions for improving information provision and tackling stigma surrounding topics such as periods and menstrual health, so society is better able to support women across their lives, including in schools and in workplaces. The statutory relationships, health, and sex education curriculum covers several areas of women’s health, including menstrual health. In July 2023 we launched a women’s health area on the National Health Service website, which brings together over 100 health topics, and includes a section on periods.</p><p>The Government is also committed to making period products more financially accessible, which will reduce barriers faced by women and girls in accessing education and work. The Period Product Scheme is available to girls and women in state-funded schools and colleges, providing a wide range of free period products, so that periods are not a barrier to education. 99% of secondary schools, 94% of post 16-year-old education organisations, and 75% of primary schools have used the scheme since it began in 2020. Free period products are also available for people in hospital and in custody. Since 1 January 2021, a zero rate of VAT has applied to sanitary products, and in January 2024 this was extended to include period pants.</p><p>Within the workplace, flexible working arrangements can allow individuals, including women suffering from menstrual problems, to work at a time, place, and during hours that support their needs. The Employment Relations (Flexible Working) Act makes changes to the right to request flexible working, to provide employees with better access to flexible working arrangements.</p><p>More widely, the Government continues to support people on lower incomes, including those who struggle to afford period products. We will spend approximately £124 billion on people of working age and children, through the welfare system in Great Britain, and the Government has provided support, totalling £96 billion, from 2022 onwards to help households with the cost of living. We are providing further support for 2024/2025, including uprating working age benefits by 6.7%, raising the National Living Wage, and extending the Household Support Fund in England for a further six months.</p> answering member printed Lord Markham question first answered 02/04/2024 13:31:12 answering member 4948 label Biography information for Lord Markham
tabling member	4308 label Biography information for The Lord Bishop of St Albans

1698044

registered interest
date	21/03/2024
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	Drugs: Shortages
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what estimate they have made, if any, of how many preventable hospitalisations have occurred as a result of medication shortages caused by Brexit.
tabling member printed	The Lord Bishop of St Albans
uin	HL3538
answer	answer is ministerial correction date of answer 02/04/2024 answer text <p>The medicine supply chain is highly regulated, complex, and global. Supply disruption is an issue which affects the United Kingdom as well as the other countries around the world, and it can have a variety of causes, including manufacturing issues, problems with access to raw ingredients, and sudden spikes in demand.</p><p> </p><p>Whilst we can’t always prevent supply issues from occurring, we have a responsibility to manage and mitigate them, working in collaboration with the pharmaceutical industry, NHS England, the devolved administrations, the Medicines and Healthcare products Regulatory Agency, and others operating in the supply chain, to help prevent shortages and to ensure that the risks to patients are minimised.</p><p> </p><p>Following the exit from the European Union (EU), the Department has worked collaboratively with industry to support trader readiness for the new border controls. While some suppliers experienced delays at the border associated with trader readiness, these issues were swiftly resolved with no sustained impacts on medical supplies, and the Department has no evidence of the EU Exit leading to sustained medicines shortages.</p> answering member printed Lord Markham question first answered 02/04/2024 13:19:55 answering member 4948 label Biography information for Lord Markham
tabling member	4308 label Biography information for The Lord Bishop of St Albans

1697652

registered interest
date	20/03/2024
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	Veterans: Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what initiatives are currently in place to ensure that military veterans receive timely access to (1) physical rehabilitation services, and (2) mental health services, specifically those suffering from post-traumatic stress disorder.
tabling member printed	Lord Browne of Belmont
uin	HL3444
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>Op RESTORE is a bespoke physical health and wellbeing service, commissioned by NHS England, which supports individuals who have served in, or are leaving, the British Armed Forces and have physical health injuries and related medical problems attributed to their time in the armed forces.</p><p>NHS England also commissioned Op COURAGE, which is the comprehensive veterans’ mental health and wellbeing service. Access to Op COURAGE is via referral or by direct contact from veterans. A campaign to raise awareness of Op COURAGE launched on 9 January 2024.</p><p>In addition, The National Rehabilitation Centre (NRC), which is part of the Government’s New Hospital Programme, is a new 70-bed facility which will benefit all patients, including veterans. Construction started in 2023.</p> answering member printed Lord Markham question first answered 26/03/2024 17:36:16 answering member 4948 label Biography information for Lord Markham
tabling member	3801 label Biography information for Lord Browne of Belmont