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1672048

registered interest
date	21/11/2023
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: Rural Areas
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to encourage more GPs to practice in rural areas.
tabling member printed	Baroness McIntosh of Pickering
uin	HL475
answer	answer is ministerial correction date of answer 29/11/2023 answer text <p>The Government recognises that there are issues with recruitment and retention in certain areas of the country, including some rural locations. We launched the Targeted Enhanced Recruitment Scheme in 2016, which has attracted hundreds of doctors to train in hard to recruit locations, including many rural areas, by providing a one-off financial incentive of £20,000. As of 2023/24, there are 782 places available on the scheme.</p> answering member printed Lord Markham question first answered 29/11/2023 13:59:00 answering member 4948 label Biography information for Lord Markham
tabling member	384 label Biography information for Baroness McIntosh of Pickering

1465593

registered interest
date	24/05/2022
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	Medical Records: Transgender People
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what form of risk assessment was carried out by (1) Public Health England, and (2) other NHS bodies, before (a) implementing a system of recording patients by their chosen gender identity rather than their biological sex, and (b) deciding to create a new stand-alone NHS record for those patients who choose to change their recorded gender identity.
tabling member printed	Lord Clement-Jones
uin	HL475
answer	answer is ministerial correction date of answer 11/07/2022 answer text <p>No record of a formal risk assessment is held, either on the mandatory introduction of National Health Service numbers in 1997 or following the introduction of the Gender Recognition Act in 2004.</p><p>When a patient changes gender, they are given a new NHS number. When a patient informs their general practice that they wish to change gender, the practice must inform the patient that this will involve a new NHS number being issued, which is not reversible.</p><p>If a patient is issued with a new NHS number, they will not automatically be recalled for certain sex-specific screening programmes. The online only guidance ‘NHS population screening: information for trans and non-binary people’ provides advice to transgender and non-binary people in England on the NHS screening programmes available in England and the processes for inviting people to screening.</p> answering member printed Lord Kamall question first answered 11/07/2022 16:58:36 answering member 4909 label Biography information for Lord Kamall attachment 1 file name HL475- Supporting Screening page.pdf title Attachment
tabling member	3396 label Biography information for Lord Clement-Jones

1156595

registered interest
date	28/10/2019
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: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans, if any, they have to increase the uptake of childhood vaccinations; and when any such plans are likely to be implemented.
tabling member printed	Lord Taylor of Warwick
uin	HL475
answer	answer is ministerial correction date of answer 05/11/2019 answer text <p>It has not proved possible to respond to this question in the time available before Dissolution. Ministers will correspond directly with the Member.</p> answering member printed Baroness Blackwood of North Oxford question first answered 05/11/2019 17:14:39 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1796 label Biography information for Lord Taylor of Warwick

748021

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government whether NHS protocols for the management of acid attacks include the use of Diphotrine for the purposes of emergency treatment.
tabling member printed	Baroness Uddin
uin	HL475
answer	answer is ministerial correction date of answer 11/07/2017 answer text <p>Emergency medical technicians and paramedics operate to the Joint Royal Colleges Ambulance Liaison Committee Clinical Practise Guidelines 2016. This does not refer to the use of Diphoterine. Ambulance personnel would follow the chemical, biological, radiological and nuclear advice in the guidelines to disrobe the patient and decontaminate with water.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL473 question first answered 11/07/2017 15:01:51 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1827 label Biography information for Baroness Uddin

381027

registered interest
date	15/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Insomnia
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what measures they are taking to increase the availability of therapy for insomnia patients.
tabling member printed	Lord Taylor of Warwick
uin	HL475
answer	answer is ministerial correction date of answer 29/06/2015 answer text <p>The National Institute for Health Care Excellence (NICE) has produced a Clinical Knowledge Summary (CKS) to support clinicians in the management of both short-term and long-term insomnia. The choice of management strategy will depend upon certain considerations, such as the duration and nature of the presenting symptoms as well the role of any pre-existing medical conditions a patient may have. Advice on appropriate routines and behaviours to encourage good sleep, such as avoiding coffee and other stimulants, should also be a key element to the overall strategy.</p><p> </p><p> </p><p> </p><p>Pharmacological interventions should only be prescribed for short durations and usually only when daytime impairment is severe. The guidance makes clear that for patients suffering from insomnia for over four weeks a referral to a cognitive behavioural therapy service should be considered. Where symptoms persist the guidance recommends referral to a sleep clinic or specialist with expertise in sleep medicine. The NICE CKS can be found at:</p><p> </p><p> </p><p> </p><p><a href="http://cks.nice.org.uk/insomnia" target="_blank">http://cks.nice.org.uk/insomnia</a></p><p> </p><p> </p><p> </p><p>This information is only available as a web link.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 29/06/2015 14:42:59 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1796 label Biography information for Lord Taylor of Warwick

62795

registered interest
date	19/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Contraceptives
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, in each year since 2010, how many prescriptions were written for (1) oral contraceptives, (2) intrauterine systems for the purpose of contraception, (3) contraceptive injections, (4) contraceptive sub-dermal implants, (5) emergency hormonal contraceptives, and (6) intrauterine devices for the purpose of emergency contraception, in each clinical commissioning group area.
tabling member printed	Baroness Gould of Potternewton
uin	HL475
answer	answer is ministerial correction date of answer 25/06/2014 answer text <p>Information is not collected centrally on the number of prescriptions written. However, information is available on the number of prescription items dispensed.</p><p> </p><p>A series of tables representing the four financial years 2010-11 to 2013-14, have been placed in the Library. These provide information on each of the categories of contraceptives requested, apart from intrauterine devices for the purpose of emergency contraception, as information is not held on whether intrauterine devices are for emergency or non-emergency use, however, totals for all intrauterine devices are included within the category of intrauterine systems for the purpose of contraception.</p><p> </p><p>The tables are based on ePACT data, representing prescriptions written in England and dispensed in the community in the United Kingdom. This does not include supply through community clinics. Information is not available for Q1 of 2010. Commissioning care group areas were formed in April 2013. Information prior to this time is in the form of primary care trusts. Contraceptives are defined products listed within British National Formulary (BNF) Section 7.3 <em>Contraceptives</em>.</p> answering member printed Earl Howe question first answered 25/06/2014 11:35:34 answering member 2000 label Biography information for Earl Howe attachment 1 file name HL475 - Lib Doc Table.xlsx title Contraception prescriptions by PCT 2012-2014
tabling member	3573 label Biography information for Baroness Gould of Potternewton