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778044

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Antimicrobials: Drug Resistance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how cures and treatments in the NHS are being developed to reduce the danger in hospitals of anti-microbial resistance.
tabling member printed	Lord Hunt of Chesterton
uin	HL2590
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>The UK Antimicrobial Resistance (AMR) Strategy published in 2013 set out the key actions needed to tackle AMR: preventing infections, making appropriate use of the treatments available, and promoting the development of new treatments. In 2016 the government announced ambitions to halve healthcare-associated Gram-negative bloodstream infections and inappropriate prescribing of antimicrobials by 2020-2021. To promote the development of new drugs, diagnostics and alternative treatments we have established unprecedented levels of research collaboration, together with increased investment, including the £50 million Global AMR Innovation Fund. The Government is committed to working with the global finance and health community to develop a global system that rewards companies that develop new, successful antibiotics and make them available to all who need them.</p> answering member printed Lord O'Shaughnessy question first answered 07/11/2017 16:14:16 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2543 label Biography information for Lord Hunt of Chesterton

778053

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Methadone
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many English patients were on the methadone treatment programme in (1) 2005, (2) 2010, and (3) 2015; in each of those years (a) what was the cost of the programme, (b) how many deaths from methadone abuse, whether of those on the programme or not, were recorded, and (c) how many patients on the programme ceased injecting behaviour and the use of other illicit drugs.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL2599
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>Data on the number of English patients on the methadone treatment programme is not collected in the format requested.</p><p> </p><p>Information on the cost of local drug treatment programmes is not collected centrally.</p><p> </p><p>Deaths where methadone was among the substances mentioned on the death certificate are published by Office for National Statistics for residents of England and Wales for each calendar year, based on deaths registered in the year. These were 220 in 2005, 355 in 2010,and 434 in 2015.</p><p> </p><p>The <em>Adult substance misuse statistics from the National Drug Treatment Monitoring System</em> <em>(NDTMS) 2015-16</em> report shows that 39% of opiate users who were reviewed after six months of treatment had not used opiates in the previous four weeks. Of those who reported that they were injecting at the start of treatment, 55% reported not injecting in the previous four weeks when reviewed after six months. This data is not available in a comparable form for previous years. A copy of the report is attached.</p><p> </p><p>It should be noted that these are not outcomes for every opiate user in treatment, but specifically for those reviewed at six months within that year, and that not all opiate users are injecting.</p> answering member printed Lord O'Shaughnessy question first answered 07/11/2017 16:09:50 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Adult substance misuse statistics from the National Drug Treatment Monitoring System (NDTMS) 2015-16.pdf title Adult substance misuse statistics
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

778054

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Methadone
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is their assessment of the effectiveness of the methadone prescribing treatment as a means to achieving a drug free lifestyle.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL2600
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>The Government has not made any assessment of methadone prescribing as a drug treatment in isolation. The National Institute for Health and Clinical Excellence has published several pieces of guidance on drug treatment. They recommend opioid substitute treatment with either methadone or buprenorphine, delivered alongside psychosocial treatments, as the frontline treatment for opioid (heroin) dependency. This is the treatment with the strongest international evidence base.</p><p>The prescribing of methadone, or any other opioid substitute therapy, only starts after an assessment by a competent clinician, in conjunction with the patient and taking into account their needs and supported by local clinical governance arrangements.</p> answering member printed Lord O'Shaughnessy question first answered 07/11/2017 16:07:57 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

778068

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion: Northern Ireland
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the estimated annual cost of payments from public funds to private sector abortion clinics in England to carry out abortions for patients from Northern Ireland; whether, under equalities and anti-discrimination legislation, there is a requirement for a similar level of resources to be made available to women who choose not to end their pregnancies; what assessment they have made of the estimate by Both Lives Matter that over 100,000 people are alive in Northern Ireland today, who would not be alive had the Abortion Act 1967 been applied there; and what advice they have sought from Law Officers about the lawfulness and the ethics of seeking to disregard in one part of the UK the lawful provisions applicable in another part of the UK.
tabling member printed	Lord Alton of Liverpool
uin	HL2613
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>We estimate the cost of providing termination of pregnancy services in England to women from Northern Ireland to be in the region of £1 million per year. The provision of antenatal and maternity services in Northern Ireland is a devolved matter. The decision to provide such funding is separate from issues about support for other groups of pregnant women and there is no necessary connection between the two matters.</p><p> </p><p>The Supreme Court in R (on the application of A and B) v Secretary of State for Health (2017) found that the Government has the power to fund abortion services in England for women lawfully resident from Northern Ireland.</p> answering member printed Lord O'Shaughnessy question first answered 07/11/2017 16:08:31 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	738 label Biography information for Lord Alton of Liverpool

778086

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion: Northern Ireland
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, under the extension of the Northern Ireland abortion scheme which will include the provision of free travel to women from low income backgrounds to have an abortion in England, (1) what will happen if a woman travels to England and then changes her mind about the procedure, and (2) whether there will be any financial pressure for her to go through with the abortion once she has travelled to England.
tabling member printed	Lord Alton of Liverpool
uin	HL2630
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>Women who travel from Northern Ireland to England seeking an abortion are able to change their mind at any stage of the process regardless of whether they have been eligible for their travel costs to be met. There are no circumstances, other than where there is evidence that a fraudulent claim has been made, that the Department would seek to re-coup any money from women who travel to England for an abortion procedure but who subsequently change their mind. In line with clinical guidelines from the Royal College of Obstetricians and Gynaecologists, all women should be informed that they have a right to delay or cancel appointments and/or the procedure should they wish.</p> answering member printed Lord O'Shaughnessy question first answered 07/11/2017 16:09:09 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	738 label Biography information for Lord Alton of Liverpool

778087

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion: Northern Ireland
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they intend, under the extension of the Northern Ireland abortion scheme which will include the provision of free travel for women on low incomes, to pay for minors to travel and have abortions in England; and whether minors resident in Northern Ireland who are eligible for free travel under the extension of the Northern Ireland abortion scheme will need to gain permission from their parents before travelling to get an abortion in England.
tabling member printed	Lord Alton of Liverpool
uin	HL2631
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>The arrangements to provide abortions in England for women from Northern Ireland include travel and, where appropriate, accommodation for all those who meet the eligibility criteria. Parents or guardians can accompany young women aged under 18 and receive help towards travel costs if they receive qualifying benefits or meet the low income criteria. A doctor or health professional is able to provide contraception, sexual and reproductive health advice and treatment, including abortion, without parental knowledge or consent, to a young person aged under 16 years, provided that the doctor or health professional is satisfied that the conditions set out in the Fraser Guidelines are met. Health professionals should make every effort to encourage young women aged under 16 to involve their parents. If they cannot be persuaded to do so then they should be assisted to find another adult (such as another family member or specialist youth worker) to provide support.</p><p> </p><p>Lord Fraser was one of the Law Lords who ruled in Gillick v West Norfolk and Wisbech Area Health Authority (1985) that under 16s can access sexual health care without parental consent, provided the following criteria are met:</p><p> </p><p>- that the young person understands the advice and has sufficient maturity to understand what is involved;</p><p>- that the doctor could not persuade the young person to inform their parents, nor to allow the doctor to inform them;</p><p>- that the young person would be very likely to begin or continue having sexual intercourse with or without contraceptive treatment;</p><p>- that without contraceptive advice or treatment the young person’s physical or mental health would suffer; and</p><p>- that it would be in the young person’s best interest to give such advice or treatment without parental consent.</p> answering member printed Lord O'Shaughnessy question first answered 07/11/2017 15:54:27 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	738 label Biography information for Lord Alton of Liverpool

778088

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion: Northern Ireland
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether, before making the decision to extend the Northern Ireland abortion scheme to include the provision of free travel to women resident in Northern Ireland from low income backgrounds, Members of the Legislative Assembly in Northern Ireland and Members of Parliament in Westminster were consulted.
tabling member printed	Lord Alton of Liverpool
uin	HL2632
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>The judgement in June 2017, in the case of R (on the application of A and B) v Secretary of State for Health, confirmed the Secretary of State's powers to extend equal access to women from Northern Ireland. There was no legal requirement to consult on this specific aspect of the scheme and no formal consultation took place.</p> answering member printed Lord O'Shaughnessy question first answered 07/11/2017 16:13:41 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	738 label Biography information for Lord Alton of Liverpool

778112

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health: Costs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps are being taken to address the financial cost to society of (a) alcohol misuse, (b) obesity and (c) viral hepatitis.
tabling member constituency	Birmingham, Edgbaston
tabling member printed	Preet Gill
uin	109878
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>The Government wants everyone to be able to make healthier choices, regardless of their circumstances, and to minimise the risk and impact of illness. A range of action is being taken to do this and in particular on the three areas identified:</p><p> </p><p>- To tackle alcohol misuse we are preventing below cost selling, tightening the rules on irresponsible promotions and introducing new powers to deal with anti-social behaviour. Local authorities are supported by Public Health England in the commissioning of high quality, evidence based treatment services for their local population’s needs.</p><p>- In addition, the United Kingdom Chief Medical Officers have produced new low risk drinking guidelines which provide the public with the latest information about the health risks of different levels and patterns of drinking. The guidelines enable people to make informed choices about their drinking.</p><p>- Tackling childhood obesity is a priority for this Government. We launched “Childhood Obesity: A Plan for Action” in August 2016. Our world-leading plan will help children and families to recognise and make healthier choices and be more active. Many of the key commitments in our plan will have an impact on tackling obesity across all age groups. These include the soft drinks industry levy and sugar reduction programme, which will reduce the amount of sugar we all consume.</p><p>- A copy of “Childhood Obesity: A Plan for Action” is available at:</p><p> </p><p><a href="http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/546588/Childhood_obesity_2016__2__acc.pdf" target="_blank">www.gov.uk/government/uploads/system/uploads/attachment_data/file/546588/Childhood_obesity_2016__2__acc.pdf</a></p><p>- The National Strategic Group on Viral Hepatitis is a Public Health England supported, cross-agency expert group on viral hepatitis with external membership from academia, NHS England, local government, clinical commissioning groups, patient representative groups and other organisations, to provide strategic direction and advice around viral hepatitis. The strategy group aims to help reduce the incidence, prevalence and consequences of infection from the viral hepatitis in England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 31/10/2017 16:22:02 answering member 4067 label Biography information for Steve Brine
tabling member	4603 label Biography information for Preet Kaur Gill

778165

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what (a) number and (b) proportion of children in each region have received each of the health visitor checks in each of the last five years.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	109939
answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>NHS England has published the percentages of children receiving health visitor checks for 2013/14 and 2014/15 data at:</p><p><a href="http://www.england.nhs.uk/statistics/statistical-work-areas/health-visitors/health-visitors-service-delivery-metrics/" target="_blank">www.england.nhs.uk/statistics/statistical-work-areas/health-visitors/health-visitors-service-delivery-metrics/</a></p><p>No published data is held prior to April 2013.</p><p> </p><p>Public Health England (PHE) now collects the data, which is submitted by local authorities on a voluntary basis. Data for 2015/16 can be found at:</p><p><a href="http://webarchive.nationalarchives.gov.uk/20170302101209/http://www.chimat.org.uk/transfer#3" target="_blank">http://webarchive.nationalarchives.gov.uk/20170302101209/http://www.chimat.org.uk/transfer#3</a></p><p>And data for 2016/17 at:</p><p><a href="https://www.gov.uk/government/collections/child-and-maternal-health-statistics#health-visitor-service-delivery-metrics." target="_blank">https://www.gov.uk/government/collections/child-and-maternal-health-statistics#health-visitor-service-delivery-metrics.</a></p><p>A change in methodology means that the data from PHE and NHS England are not comparable.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/11/2017 11:30:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1511 label Biography information for Lord Austin of Dudley

778166

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many health visitors there have been in each region in each of the last five years.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	109958
answer	answer is ministerial correction date of answer 03/11/2017 answer text <p>NHS Digital publishes workforce statistics and the following table shows full time equivalent (FTE) qualified health visitors working in the National Health Service trusts and clinical commissioning groups in England from 31 July 2012 to 31 July 2017.</p><p> </p><p>Current data collections do not cover the complete range of these organisations. As a result, it is not possible to provide accurate data on the total size of the health visitor workforce.</p><p> </p><p>NHS Hospital and Community Health Services (HCHS): Qualified Health Visitors working in each region as at 31 July each specified year (FTE).</p><p> </p><table><tbody><tr><td><p>Health visitors (FTE)</p></td><td><p>July 2012</p></td><td><p>July 2013</p></td><td><p>July 2014</p></td><td><p>July 2015</p></td><td><p>July 2016</p></td><td><p>July 2017</p></td></tr><tr><td><p>Health Education East Midlands</p></td><td><p>612</p></td><td><p>684</p></td><td><p>734</p></td><td><p>816</p></td><td><p>778</p></td><td><p>732</p></td></tr><tr><td><p>Health Education East of England</p></td><td><p>507</p></td><td><p>554</p></td><td><p>644</p></td><td><p>763</p></td><td><p>732</p></td><td><p>630</p></td></tr><tr><td><p>Health Education Kent, Surrey and Sussex</p></td><td><p>399</p></td><td><p>467</p></td><td><p>525</p></td><td><p>650</p></td><td><p>619</p></td><td><p>545</p></td></tr><tr><td><p>Health Education North Central and East London</p></td><td><p>396</p></td><td><p>435</p></td><td><p>540</p></td><td><p>649</p></td><td><p>634</p></td><td><p>543</p></td></tr><tr><td><p>Health Education North East</p></td><td><p>574</p></td><td><p>644</p></td><td><p>664</p></td><td><p>650</p></td><td><p>408</p></td><td><p>345</p></td></tr><tr><td><p>Health Education North West</p></td><td><p>1,355</p></td><td><p>1,431</p></td><td><p>1,560</p></td><td><p>1,701</p></td><td><p>1,736</p></td><td><p>1,632</p></td></tr><tr><td><p>Health Education North West London</p></td><td><p>342</p></td><td><p>410</p></td><td><p>451</p></td><td><p>493</p></td><td><p>488</p></td><td><p>492</p></td></tr><tr><td><p>Health Education South London</p></td><td><p>336</p></td><td><p>307</p></td><td><p>365</p></td><td><p>447</p></td><td><p>430</p></td><td><p>358</p></td></tr><tr><td><p>Health Education South West</p></td><td><p>466</p></td><td><p>557</p></td><td><p>528</p></td><td><p>624</p></td><td><p>396</p></td><td><p>372</p></td></tr><tr><td><p>Health Education Thames Valley</p></td><td><p>330</p></td><td><p>310</p></td><td><p>340</p></td><td><p>385</p></td><td><p>365</p></td><td><p>324</p></td></tr><tr><td><p>Health Education Wessex</p></td><td><p>335</p></td><td><p>377</p></td><td><p>439</p></td><td><p>519</p></td><td><p>495</p></td><td><p>481</p></td></tr><tr><td><p>Health Education West Midlands</p></td><td><p>856</p></td><td><p>947</p></td><td><p>1,129</p></td><td><p>1,265</p></td><td><p>1,198</p></td><td><p>1,067</p></td></tr><tr><td><p>Health Education Yorkshire and the Humber</p></td><td><p>879</p></td><td><p>943</p></td><td><p>909</p></td><td><p>983</p></td><td><p>1,106</p></td><td><p>927</p></td></tr></tbody></table><p>Source: NHS Digital monthly HCHS workforce statistics</p><p>Note:</p><p>Health visitors may be employed by NHS provider organisations, but may also be employed directly by local authorities, or other care providers.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/11/2017 11:35:06 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1511 label Biography information for Lord Austin of Dudley