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1727976

registered interest
date	09/09/2024
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	Pregnancy: Folic Acid
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 need for an educational campaign to highlight the importance of taking folic acid supplements while pregnant to reduce the chances of brain and spinal conditions in foetuses.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL900
answer	answer is ministerial correction date of answer 16/09/2024 answer text <p>The Government and the devolved administrations recommend that women who could become pregnant, or plan to become pregnant, should take a daily supplement of 400 micrograms of folic acid before conception and up until the 12th week of pregnancy. This is in addition to any folic acid consumed through their diet.</p><p>In England, Start for Life provides information and support to pregnant women and expectant parents on the importance of taking folic acid on their website, and through an email programme. Public health messaging by health departments across the United Kingdom raises awareness of the importance of folic acid supplementation by women who may become pregnant, and for the first 12 weeks of pregnancy. The Government keeps the need for educational campaigns under review.</p><p>The Government monitors folate intake and status through the<em> National Diet and Nutrition Survey</em> (NDNS). The latest publication reported that 89% of women of childbearing age had increased risk of neural tube defects. New NDNS data, including folate status, is due to be published in early 2025.</p> answering member printed Baroness Merron question first answered 16/09/2024 15:25:42 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1727979

registered interest
date	09/09/2024
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	Influenza: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to paragraph 4.5.6 of the NHS Vaccination Strategy, published on 13 December 2023, what is their timeline for the development of a cost-benefit analysis on the centralised procurement and supply of adult flu vaccines.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL903
answer	answer is ministerial correction date of answer 16/09/2024 answer text <p>The NHS Vaccination Strategy outlined the intention to explore whether centralising the procurement and supply of adult flu vaccines could deliver better outcomes and address the existing clinical, operational, and financial challenges associated with local procurement. NHS England, the Department, and the UK Health Security Agency are working in partnership to plan a programme of work to consider this. This will include undertaking a cost-benefit analysis and market engagement with stakeholders. These plans, which include timelines, are still under development and subject to ministerial decision-making, but any potential changes as a result of this exploratory exercise will not be implemented before the 2026/27 financial year.</p> answering member printed Baroness Merron grouped question UIN HL904 question first answered 16/09/2024 15:34:23 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1727980

registered interest
date	09/09/2024
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	Influenza: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to paragraph 4.5.6 of the NHS Vaccination Strategy, published on 13 December 2023, what plans they have to engage with external stakeholders in the development of a cost-benefit analysis of the centralised procurement and supply of adult flu vaccines.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL904
answer	answer is ministerial correction date of answer 16/09/2024 answer text <p>The NHS Vaccination Strategy outlined the intention to explore whether centralising the procurement and supply of adult flu vaccines could deliver better outcomes and address the existing clinical, operational, and financial challenges associated with local procurement. NHS England, the Department, and the UK Health Security Agency are working in partnership to plan a programme of work to consider this. This will include undertaking a cost-benefit analysis and market engagement with stakeholders. These plans, which include timelines, are still under development and subject to ministerial decision-making, but any potential changes as a result of this exploratory exercise will not be implemented before the 2026/27 financial year.</p> answering member printed Baroness Merron grouped question UIN HL903 question first answered 16/09/2024 15:34:23 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1727482

registered interest
date	04/09/2024
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	Autism: Diagnosis
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to improve (1) the diagnosis of autism, and (2) support for those who are assessed as having autism.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL759
answer	answer is ministerial correction date of answer 12/09/2024 answer text <p>The Department is currently considering the next steps to improving diagnostic assessment and support for autistic people. It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including autism assessment and support services, in line with National Institute for Health and Care Excellence guidelines.</p><p>On 5 April 2023, NHS England published a national framework and operational guidance to deliver improved outcomes in all-age autism assessment pathways. This guidance will help ICBs and the National Health Service to deliver improved outcomes for children, young people, and adults referred to an autism assessment service. The guidance also sets out what support should be available before an assessment, and what support should follow a recent diagnosis of autism, based on the available evidence.</p><p>In 2024/25, £4.3 million is available nationally to improve services for autistic children and young people, including autism assessment services.</p> answering member printed Baroness Merron question first answered 12/09/2024 16:35:56 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1727206

registered interest
date	03/09/2024
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	Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government when they intend to respond to the outstanding Joint Committee on Vaccination and Immunisation recommendations in relation to the approval and commissioning of new vaccines.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL725
answer	answer is ministerial correction date of answer 10/09/2024 answer text <p>Officials across the Department, the UK Health Security Agency, and NHS England routinely develop policy options based on the advice issued by the Joint Committee on Vaccination and Immunisation (JCVI).</p><p>Officials must consider a number of factors before a policy position can be established, and the time taken to complete this process can vary depending on these factors, and the nature of the JCVI’s advice. It is important to fully consider feasibility and all operational and clinical factors to maintain the high standards of the United Kingdom’s world-leading vaccination programmes, and ensure best value for money for taxpayers.</p><p>The Department aims to respond rapidly to the JCVI’s advice, as demonstrated by the recent introduction of programmes to protect older adults and infants, through maternal vaccination, from the respiratory syncytial virus.</p> answering member printed Baroness Merron question first answered 10/09/2024 16:01:56 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1727208

registered interest
date	03/09/2024
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	Breast Cancer: Statistics
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 quality and consistency of triple negative breast cancer data collected in England; and what steps they are taking to improve it.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL727
answer	answer is ministerial correction date of answer 19/09/2024 answer text <p>Data on triple negative breast cancer for England is collected through the National Disease Registration Service (NDRS). An NDRS Quality Assurance Team is in place to identify, investigate, and monitor data quality issues, with over 130 Quality Assurance reports being run each month as well as quarterly reports to assess the completeness of key data.</p><p>To drive up the completeness of the data for triple negative breast cancer, progesterone receptor status, human epidermal growth factor receptor in situ hybridization status, and oestrogen receptor status are part of the Cancer Outcomes and Services Data set, which supports national registration.</p> answering member printed Baroness Merron question first answered 19/09/2024 13:18:13 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1726505

registered interest
date	02/09/2024
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	Influenza: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what timelines are in place for the development of a cost-benefit analysis on the centralised procurement and supply of adult flu vaccines, in line with paragraph 4.5.6 of the NHS Vaccination Strategy.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL680
answer	answer is ministerial correction date of answer 10/09/2024 answer text <p>The<em> NHS Vaccination Strategy</em> outlined the intention to explore whether centralising the procurement and supply of adult flu vaccines could deliver better outcomes and address the existing clinical, operational, and financial challenges associated with local procurement. NHS England, the Department, and the UK Health Security Agency are working in partnership on a programme of work to consider this. This will include undertaking a cost-benefit analysis and market engagement with stakeholders. The work, including timelines, is still under development and subject to ministerial decision-making.</p> answering member printed Baroness Merron grouped question UIN HL681 question first answered 10/09/2024 11:13:24 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1726506

registered interest
date	02/09/2024
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	Influenza: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to engage with external stakeholders in the development of a cost-benefit analysis of the centralised procurement and supply of adult flu vaccines, in line with paragraph 4.5.6 of the NHS Vaccination Strategy.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL681
answer	answer is ministerial correction date of answer 10/09/2024 answer text <p>The<em> NHS Vaccination Strategy</em> outlined the intention to explore whether centralising the procurement and supply of adult flu vaccines could deliver better outcomes and address the existing clinical, operational, and financial challenges associated with local procurement. NHS England, the Department, and the UK Health Security Agency are working in partnership on a programme of work to consider this. This will include undertaking a cost-benefit analysis and market engagement with stakeholders. The work, including timelines, is still under development and subject to ministerial decision-making.</p> answering member printed Baroness Merron grouped question UIN HL680 question first answered 10/09/2024 11:13:24 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1726563

registered interest
date	02/09/2024
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	Hospitals: Surveys
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what is their assessment of the annual survey of hospital inpatients in England and Wales, published by the Care Quality Commission on 21 August.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL685
answer	answer is ministerial correction date of answer 09/09/2024 answer text <p>The Care Quality Commission’s <em>Adult Inpatient Survey 2023 </em>shows high levels of trust in doctors and nurses. The fact that the vast majority of patients felt that they were treated with respect and dignity is a testament to the efforts of National Health Service staff. The results reveal a significant decline in experiences of accessing inpatient care, with worsening waiting lists, and too many patients saying that their health deteriorated while waiting for admission. The survey results add to the Government’s existing concerns about the state of the NHS.</p><p>Improving the NHS is a Government priority, but it will take time. My Rt hon. Friend, the Secretary of State for Health and Social Care has appointed Lord Darzi to lead the independent investigation of the NHS. It has a particular focus on assessing patient access to healthcare, the quality of healthcare being provided, and the overall performance of the health system. Baron Darzi will report this month.</p> answering member printed Baroness Merron question first answered 09/09/2024 16:49:18 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1723969

registered interest
date	29/07/2024
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	Respiratory Syncytial Virus: Vaccination
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 expected coverage rates of maternal respiratory syncytial virus vaccination in the first year of the programme.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL443
answer	answer is ministerial correction date of answer 06/08/2024 answer text <p>The Joint Committee on Vaccination and Immunisation considered uptake when developing their advice on a maternal respiratory syncytial virus (RSV) vaccination programme. Uptake for the RSV vaccination programme is expected to be like that of other year-round maternal respiratory immunisation programmes.</p> answering member printed Baroness Merron question first answered 06/08/2024 08:24:41 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick