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809599

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Medical Equipment: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of the 2014 report published by the British Healthcare Trades Association on the economic benefits of improved provision of equipment for disabled and terminally ill children.
	tabling member printed	Baroness Bertin
	type	WrittenParliamentaryQuestion
	uin	HL4307
	answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>The report by the British Healthcare Trades Association concluded that the costs of medical care would be significantly reduced through more effective provision of equipment, and the National Health Service is continually seeking to improve equipment provision and use. NHS England is leading work to improve wheelchair commissioning and posture services through the development and dissemination of its wheelchair service specification and by working with commissioners to eliminate 18 week waits for wheelchairs by the end of 2018/19. Since 2016, the Department has funded sports activity prostheses for children who have suffered limb loss or congenital limb deficiency.</p> answering member printed Lord O'Shaughnessy question first answered 22/12/2017 12:35:50 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4577 label Biography information for Baroness Bertin

809611

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Autism
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they have made an assessment of the findings of Matthew Mold et al on aluminium in brain tissue in autism, reported in the Journal of Trace Elements in Medicine and Biology; and if so, whether they will encourage further investigation of the link between the incidence of autism spectrum disorder and aluminium.
	tabling member printed	The Countess of Mar
	type	WrittenParliamentaryQuestion
	uin	HL4315
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>No assessment has been made of the findings of this research. The Department funds research through the National Institute for Health Research which takes independent expert advice on which research proposals to support.</p> answering member printed Lord O'Shaughnessy question first answered 21/12/2017 15:38:01 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	1861 label Biography information for The Countess of Mar

809630

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Organs: Donors
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of the Welsh Government's Evaluation of the Human Transplantation (Wales) Act which found that after the change in organ donation law in Wales the quarterly mean average of organ donation fell from 14.6 to 13.4.
	tabling member printed	Lord Sheikh
	type	WrittenParliamentaryQuestion
	uin	HL4328
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>A consultation impact assessment, <em>Consultation on an opt-out system of organ and tissue donation</em>, has been published as part of the Government’s public consultation. A copy is attached. This suggests that, when introduced as part of a wider communication and logistical package, opt out systems of consent can be associated with higher donation rates. Important evidence continues to become available from the Welsh Government on impact of the Human Transplantation (Wales) Act 2013, including that a longer period of time is needed to draw firmer conclusions on the impact of the change in the law. The Department invites further evidence to be submitted on factors not considered in the consultation analysis. These will be carefully considered before the Government’s final response to the consultation.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4329 question first answered 21/12/2017 15:39:01 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL4328 and 4329Organ_Donation_Opt-Out_Consultation_Impact_Assessment.pdf title Consultation Impact Assessment
	tabling member	3794 label Biography information for Lord Sheikh

809632

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Organs: Donors
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of the finding that since the introduction of the Human Transplantation (Wales) Act over 178,000 people have opted out of organ donation.
	tabling member printed	Lord Sheikh
	type	WrittenParliamentaryQuestion
	uin	HL4329
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>A consultation impact assessment, <em>Consultation on an opt-out system of organ and tissue donation</em>, has been published as part of the Government’s public consultation. A copy is attached. This suggests that, when introduced as part of a wider communication and logistical package, opt out systems of consent can be associated with higher donation rates. Important evidence continues to become available from the Welsh Government on impact of the Human Transplantation (Wales) Act 2013, including that a longer period of time is needed to draw firmer conclusions on the impact of the change in the law. The Department invites further evidence to be submitted on factors not considered in the consultation analysis. These will be carefully considered before the Government’s final response to the consultation.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4328 question first answered 21/12/2017 15:39:01 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL4328 and 4329Organ_Donation_Opt-Out_Consultation_Impact_Assessment.pdf title Consultation Impact Assessment
	tabling member	3794 label Biography information for Lord Sheikh

808744

	registered interest
	date	18/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what is their response to the conclusion of the joint Royal College of General Practitioner’s and Medical Schools Council report, Destination GP, that additional funding for GP student placements is required to encourage more medical students to become GPs.
	tabling member printed	Lord Hunt of Kings Heath
	type	WrittenParliamentaryQuestion
	uin	HL4268
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The Department sets the tariff for placements and as set out in the draft workforce strategy, <em>Facing the Facts, Shaping the Future – A draft health and care workforce strategy for England to 2027</em>, Health Education England (HEE) will advise ministers in spring 2018 on their assessment of options for reforming undergraduate and postgraduate tariffs to better support clinical learning environments and a larger learner population; including primary care. A copy of <em>Facing the Facts, Shaping the Future </em>is attached.</p><p> </p><p>HEE has implemented a range of improvements to increase the number of general practitioner (GP) training places to 3,250 each year. In 2017 3,157 new starters were recruited to training posts – this is the highest number of GP trainees ever.</p><p> </p><p>NHS England, HEE, the British Medical Association and Royal College of General Practitioners have been working together to increase the number of medical students choosing to enter specialty GP training.</p><p> </p><p> </p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL4269 HL4270 question first answered 21/12/2017 13:24:09 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Facing the Facts Shaping the Future a draft health and care workforce strategy for England to 2027.pdf title Facing the facts, shaping the future
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

808745

	registered interest
	date	18/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of levels of funding for GP student placements.
	tabling member printed	Lord Hunt of Kings Heath
	type	WrittenParliamentaryQuestion
	uin	HL4269
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The Department sets the tariff for placements and as set out in the draft workforce strategy, <em>Facing the Facts, Shaping the Future – A draft health and care workforce strategy for England to 2027</em>, Health Education England (HEE) will advise ministers in spring 2018 on their assessment of options for reforming undergraduate and postgraduate tariffs to better support clinical learning environments and a larger learner population; including primary care. A copy of <em>Facing the Facts, Shaping the Future </em>is attached.</p><p> </p><p>HEE has implemented a range of improvements to increase the number of general practitioner (GP) training places to 3,250 each year. In 2017 3,157 new starters were recruited to training posts – this is the highest number of GP trainees ever.</p><p> </p><p>NHS England, HEE, the British Medical Association and Royal College of General Practitioners have been working together to increase the number of medical students choosing to enter specialty GP training.</p><p> </p><p> </p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL4268 HL4270 question first answered 21/12/2017 13:24:09 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Facing the Facts Shaping the Future a draft health and care workforce strategy for England to 2027.pdf title Facing the facts, shaping the future
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

808746

	registered interest
	date	18/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they intend to increase levels of funding for GP student placements.
	tabling member printed	Lord Hunt of Kings Heath
	type	WrittenParliamentaryQuestion
	uin	HL4270
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The Department sets the tariff for placements and as set out in the draft workforce strategy, <em>Facing the Facts, Shaping the Future – A draft health and care workforce strategy for England to 2027</em>, Health Education England (HEE) will advise ministers in spring 2018 on their assessment of options for reforming undergraduate and postgraduate tariffs to better support clinical learning environments and a larger learner population; including primary care. A copy of <em>Facing the Facts, Shaping the Future </em>is attached.</p><p> </p><p>HEE has implemented a range of improvements to increase the number of general practitioner (GP) training places to 3,250 each year. In 2017 3,157 new starters were recruited to training posts – this is the highest number of GP trainees ever.</p><p> </p><p>NHS England, HEE, the British Medical Association and Royal College of General Practitioners have been working together to increase the number of medical students choosing to enter specialty GP training.</p><p> </p><p> </p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL4268 HL4269 question first answered 21/12/2017 13:24:09 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Facing the Facts Shaping the Future a draft health and care workforce strategy for England to 2027.pdf title Facing the facts, shaping the future
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

808762

	registered interest
	date	18/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Fentanyl
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of the increasing misuse of fentanyl; and whether they intend to introduce evidence-based key performance indicators for harm reduction initiatives in order to prioritise and support those initiatives.
	tabling member printed	Lord Patel of Bradford
	type	WrittenParliamentaryQuestion
	uin	HL4286
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>Substance misuse is lower than it was a decade ago but we must always be alive to emerging threats and the reports linking fentanyl to a number of fatal drug overdoses are extremely concerning. That is why the Home Secretary has asked the Advisory Council on the Misuse of Drugs to investigate the risks around fentanyl analogues, so that we can maximise the effectiveness of our response.</p><p> </p><p>The Government’s updated Drug Strategy will capture the impact of wider health and social care costs and harms associated with drug misuse, including: hospital admissions related to drug misuse; rates of blood borne viruses and numbers of drug-related deaths, including on release from prison.</p><p> </p><p>Public Health England supports local areas in responding to the threat from fentanyl, and other potent opiates.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member printed Lord O'Shaughnessy question first answered 21/12/2017 13:20:12 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3798 label Biography information for Lord Patel of Bradford

808766

	registered interest
	date	18/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pancreatic Cancer
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to assess the National Cancer Diagnosis Audit in order to determine how well GPs are supported in recognising the symptoms of pancreatic cancer.
	tabling member printed	Lord Porter of Spalding
	type	WrittenParliamentaryQuestion
	uin	HL4290
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The National Cancer Programme will review the outputs of the National Cancer Diagnosis Audit to inform targeted improvements for the earlier diagnosis of cancer, including pancreatic cancer. Early detection of cancer, particularly in primary care, is a key component of our work and is supported by Cancer Alliances across the country.</p> answering member printed Lord O'Shaughnessy question first answered 21/12/2017 13:18:34 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4555 label Biography information for Lord Porter of Spalding

808767

	registered interest
	date	18/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Obesity: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of reports that children between the age of 10 and 19 require hip replacements due to obesity; and what steps they will take to support local government bodies to improve public health in this regard.
	tabling member printed	Lord Porter of Spalding
	type	WrittenParliamentaryQuestion
	uin	HL4291
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>No assessment has been made centrally. Local authorities are being given over £16 billion to spend on public health over the five years of the 2015 Spending Review. We know that many are prioritising action to tackle obesity and increase physical activity according to their local need.</p><p><strong> </strong></p><p>Alongside this, our world-leading childhood obesity plan, launched in August 2016, aims to significantly reduce England’s rate of childhood obesity within ten years by helping children and families to recognise and make healthier choices and be more active.</p><p><strong> </strong></p><p>A copy of <em>Childhood Obesity: A Plan for Action</em> is attached.</p> answering member printed Lord O'Shaughnessy question first answered 21/12/2017 13:21:06 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Childhood Obesity Plan.pdf title Childhood Obesity Plan
	tabling member	4555 label Biography information for Lord Porter of Spalding