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1606957

registered interest
date	23/03/2023
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	Electronic Cigarettes
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to ban the sale of single use vapes.
tabling member printed	Baroness Taylor of Bolton
uin	HL6812
answer	answer is ministerial correction date of answer 29/03/2023 answer text <p>There are no immediate plans to introduce a ban on disposable vaping devices.</p> answering member printed Lord Markham question first answered 29/03/2023 11:06:21 answering member 4948 label Biography information for Lord Markham
tabling member	407 label Biography information for Baroness Taylor of Bolton

1606567

registered interest
date	22/03/2023
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	Hepatitis: Disease Control
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they (1) have developed, or (2) intend to put in place, for the maintenance phase of Hepatitis C elimination once England has reached the World Health Organisation elimination metrics.
tabling member printed	Baroness Randerson
uin	HL6760
answer	answer is ministerial correction date of answer 28/03/2023 answer text <p>Significant progress has been made in the effort to eliminate Hepatitis C (HCV) in England and NHS England has publicly committed to the elimination of HCV in England by financial year 2025/26.</p><p> </p><p>Work to support the elimination maintenance phase is currently being developed. It will involve multiple stakeholders including NHS England Specialised Commissioning, integrated care boards (ICBs), the Department, and the UK Health Security Agency (UKHSA). In addition, commissioning arrangements for HCV elimination are expected to be devolved to local levels, with ICBs managing funding for issues such as testing. UKHSA will continue to monitor maintenance of elimination through routine surveillance data.</p> answering member printed Lord Markham question first answered 28/03/2023 14:28:06 answering member 4948 label Biography information for Lord Markham
tabling member	4230 label Biography information for Baroness Randerson

1606568

registered interest
date	22/03/2023
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	Hepatitis: Disease Control
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the HCVAction report Taking the initiative: how England is eliminating Hepatitis C, published on 21 February, what assessment they have made of (1) the effectiveness of peer-to-peer support workers and volunteers with lived experience in combating Hepatitis C, and (2) the lessons for the other areas of healthcare from the Hepatitis C peer programme.
tabling member printed	Baroness Randerson
uin	HL6761
answer	answer is ministerial correction date of answer 28/03/2023 answer text <p>Peer programmes are a well embedded and demonstrably effective part of NHS England’s Hepatitis C (HCV) Elimination Programme. Almost every elimination initiative that NHS England manages and commissions HCV Operational Delivery Networks to provide, at local and sub-regional levels, has peer involvement. NHS England consistently finds that people with lived experience are excellent advocates and are crucial in developing therapeutic alliances to support people into testing and treatment who may have felt excluded from traditional healthcare and other settings.</p><p> </p><p>The Government will continue to review opportunities for using peer-to-peer support workers and volunteers with lived experience to support other areas of healthcare.</p> answering member printed Lord Markham question first answered 28/03/2023 14:27:05 answering member 4948 label Biography information for Lord Markham
tabling member	4230 label Biography information for Baroness Randerson

1606575

registered interest
date	22/03/2023
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	Fluoride: Health Hazards
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 United States’ National Toxicology Program’s report State of the Science Concerning Fluoride Exposure, dated September 2022.
tabling member printed	Lord Storey
uin	HL6768
answer	answer is ministerial correction date of answer 29/03/2023 answer text <p>The Department notes that this paper is still in draft and that according to the United States National Toxicology Programme (NTP) website, which was updated on 15 March 2023, the NTP is going through an internal process to decide on final publication.</p><p> </p><p>We also note that earlier drafts of the paper were reviewed by the US National Academy of Sciences, Engineering and Medicine (US NASEM). At the time, the US NASEM stated that the review cannot be used to draw conclusions on effects at lower levels of fluoride, i.e., below the United Kingdom regulatory limit for fluoride of 1.5 milligram per litre. This means that the findings of the US NTP draft review could not be used to draw conclusions relevant to existing water fluoridation schemes in the UK.</p> answering member printed Lord Markham question first answered 29/03/2023 11:07:12 answering member 4948 label Biography information for Lord Markham
tabling member	4238 label Biography information for Lord Storey

1606128

registered interest
date	21/03/2023
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	Pharmacy: Contracts
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of whether the Community Pharmacy Contractual Framework remains fit for purpose, given that it was negotiated before the COVID-19 pandemic.
tabling member printed	Baroness Redfern
uin	HL6696
answer	answer is ministerial correction date of answer 28/03/2023 answer text <p>The Community Pharmacy Contractual Framework (CPCF) 2019-24 five-year deal commits £2.592 billion per year to the sector and outlines a joint vision for how community pharmacy will be more integrated into the National Health Service, deliver more clinical services and become the first port of call for minor illnesses. The Government continues to support this ambition.</p><p> </p><p>Each year of the CPCF is negotiated separately between the Department, NHS England, and the Pharmaceutical Services Negotiating Committee. In September last year, following a joint review of the CPCF, we announced the agreement for the remainder of the five-year deal, which included a further one-off investment in the sector of £100 million.</p> answering member printed Lord Markham question first answered 28/03/2023 16:55:06 answering member 4948 label Biography information for Lord Markham
tabling member	4551 label Biography information for Baroness Redfern

1606139

registered interest
date	21/03/2023
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	Health Services: Pay
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether differentials in salary bands will be maintained between care staff and senior care staff within the Cost of Care model.
tabling member printed	Lord Taylor of Warwick
uin	HL6707
answer	answer is ministerial correction date of answer 29/03/2023 answer text <p>The Market Sustainability and Fair Cost of Care Fund required local authorities to work collaboratively with adult social care providers to conduct evidence-based Cost of Care exercises, to support them in building a shared understanding of the local costs for delivering care, including for categories such as staff pay. However, the pay and terms and conditions for care workers are set independent of central government. When commissioning services from providers, their Care Act 2014 duties require local authorities to assure themselves that their fees enable appropriate staff renumeration, so as to retain an effective workforce.</p> answering member printed Lord Markham question first answered 29/03/2023 11:24:42 answering member 4948 label Biography information for Lord Markham
tabling member	1796 label Biography information for Lord Taylor of Warwick

1606162

registered interest
date	21/03/2023
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	Pharmacy: Standards
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 there is an adequate supply of essential services provided by pharmacies, particularly the assembly of blister medication packs to support the safe administration of medicines at home by patients, care workers and unpaid carers.
tabling member printed	Baroness Wheeler
uin	HL6721
answer	answer is ministerial correction date of answer 30/03/2023 answer text <p>Compliance support services, for example the dispensing of medicines in blister medication packs, are not nationally commissioned and therefore no data is available on how many compliance aids are assembled every year in England. Under the Equality Act 2010, pharmacies must make reasonable adjustments to their services to help patients covered by the Act which could include compliance aids where appropriate.</p> answering member printed Lord Markham grouped question UIN HL6722 question first answered 30/03/2023 10:36:05 answering member 4948 label Biography information for Lord Markham
tabling member	4157 label Biography information for Baroness Wheeler

1606163

registered interest
date	21/03/2023
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	Pharmacy
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many blister medication packs per year are assembled by pharmacies for patients in England.
tabling member printed	Baroness Wheeler
uin	HL6722
answer	answer is ministerial correction date of answer 30/03/2023 answer text <p>Compliance support services, for example the dispensing of medicines in blister medication packs, are not nationally commissioned and therefore no data is available on how many compliance aids are assembled every year in England. Under the Equality Act 2010, pharmacies must make reasonable adjustments to their services to help patients covered by the Act which could include compliance aids where appropriate.</p> answering member printed Lord Markham grouped question UIN HL6721 question first answered 30/03/2023 10:36:05 answering member 4948 label Biography information for Lord Markham
tabling member	4157 label Biography information for Baroness Wheeler

1605374

registered interest
date	20/03/2023
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	General Practitioners: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether General Practitioners are no longer able to perform routine procedures such as syringing of ears and treatment of minor injuries; and if not, who took the decisions to remove these procedures from general practice; and when these decisions were taken.
tabling member printed	Baroness McIntosh of Pickering
uin	HL6639
answer	answer is ministerial correction date of answer 28/03/2023 answer text <p>The National Institute for Health and Care Excellence (NICE) issued guidance in 2018 no longer advising manual ear syringing due to risks associated, such as trauma to the ear drum or infection. NICE guidance suggests alternative arrangements for treatment of excessive ear wax, such as considering ear irrigation using an electronic irrigator, micro suction, or manual removal using a probe. General practitioners follow this guidance and are increasingly recommending self-care methods as the primary means to support the safe removal of ear wax, such as in cases of deafness.</p> answering member printed Lord Markham question first answered 28/03/2023 14:27:31 answering member 4948 label Biography information for Lord Markham
tabling member	384 label Biography information for Baroness McIntosh of Pickering

1605375

registered interest
date	20/03/2023
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	Earwax: Medical Treatments
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government why ear syringing is now only provided by a private sector provider in some areas, and not by the NHS.
tabling member printed	Baroness McIntosh of Pickering
uin	HL6640
answer	answer is ministerial correction date of answer 28/03/2023 answer text <p>Integrated care boards are responsible for commissioning services on the National Health Service in line with National Institute for Health and Care Excellence (NICE) guidance. This includes provision of recommended ear wax removal services for patients with a clinical need for ear wax removal.</p><p> </p><p>In June 2018, NICE updated its guidance <em>Hearing loss in adults: assessment and management</em> so that it no longer recommends manual ear wax syringing. This update of the guidance was due to risks associated with the treatment such as trauma to the ear drum or infection. Instead, the guidance suggests alternative arrangements, such as ear irrigation using an electronic irrigator, micro suction, or another method of earwax removal such as manual removal using a probe.</p><p> </p><p>A copy of the guidance is attached.</p> answering member printed Lord Markham question first answered 28/03/2023 16:54:44 answering member 4948 label Biography information for Lord Markham attachment 1 file name hearing-loss-in-adults-assessment-and-management-pdf-1837761878725.pdf title Hearing loss in adults: assessment and management
tabling member	384 label Biography information for Baroness McIntosh of Pickering