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1698014

registered interest
date	21/03/2024
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	DNACPR Decisions
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what criteria apply to NHS hospitals when requesting patients to sign a 'do not resuscitate' form.
tabling member printed	Baroness Browning
uin	HL3508
answer	answer is ministerial correction date of answer 05/04/2024 answer text <p>There are no set criteria applied to National Health Service hospitals when requesting patients sign do not resuscitate forms. Doctors are required to make do not attempt cardiopulmonary resuscitation (DNACPR) decisions based on the individual circumstances of a patient, and with the involvement of the person concerned or, where the person lacks capacity, their family, or any other legally recognised advocate.</p><p>Patient facing guidance setting out how DNACPR decisions should be made, and how individuals or their families can get support about a DNACPR, is provided on the NHS website, in an online only format.</p> answering member printed Lord Markham question first answered 05/04/2024 13:06:00 answering member 4948 label Biography information for Lord Markham
tabling member	236 label Biography information for Baroness Browning

1698015

registered interest
date	21/03/2024
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	DNACPR Decisions
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many 'do not resuscitate' forms have been signed in each of the past five years.
tabling member printed	Baroness Browning
uin	HL3509
answer	answer is ministerial correction date of answer 05/04/2024 answer text <p>The Department does not hold this data.</p> answering member printed Lord Markham question first answered 05/04/2024 13:06:13 answering member 4948 label Biography information for Lord Markham
tabling member	236 label Biography information for Baroness Browning

1697652

registered interest
date	20/03/2024
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	Veterans: Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what initiatives are currently in place to ensure that military veterans receive timely access to (1) physical rehabilitation services, and (2) mental health services, specifically those suffering from post-traumatic stress disorder.
tabling member printed	Lord Browne of Belmont
uin	HL3444
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>Op RESTORE is a bespoke physical health and wellbeing service, commissioned by NHS England, which supports individuals who have served in, or are leaving, the British Armed Forces and have physical health injuries and related medical problems attributed to their time in the armed forces.</p><p>NHS England also commissioned Op COURAGE, which is the comprehensive veterans’ mental health and wellbeing service. Access to Op COURAGE is via referral or by direct contact from veterans. A campaign to raise awareness of Op COURAGE launched on 9 January 2024.</p><p>In addition, The National Rehabilitation Centre (NRC), which is part of the Government’s New Hospital Programme, is a new 70-bed facility which will benefit all patients, including veterans. Construction started in 2023.</p> answering member printed Lord Markham question first answered 26/03/2024 17:36:16 answering member 4948 label Biography information for Lord Markham
tabling member	3801 label Biography information for Lord Browne of Belmont

1697657

registered interest
date	20/03/2024
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	NHS: Vacancies
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to address the shortage of NHS staff in rural and understaffed areas.
tabling member printed	Lord Hay of Ballyore
uin	HL3449
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>The Government recognises the importance of expanding the National Health Service workforce, particularly in parts of the country which are understaffed, including rural areas. The NHS Long Term Workforce Plan (LTWP) commits to doubling the number of medical school places, with new medical schools and additional places in geographical areas with the greatest staff shortfalls. Further medical expansion will build on the impact of five new medical schools that have already opened in historically hard-to-recruit rural and coastal locations in Tyne and Wear, West Lancashire, Essex, Lincolnshire, and Kent.</p><p>The LTWP also sets out an aim to further adjust the distribution of postgraduate specialty training places, so that more medical students carry out their postgraduate training in parts of the country with the greatest shortages. Doctors are more likely to settle and practice in the areas they train. Therefore, expansion of places will help to address the need for more staff in these areas.</p> answering member printed Lord Markham question first answered 26/03/2024 17:37:00 answering member 4948 label Biography information for Lord Markham
tabling member	4352 label Biography information for Lord Hay of Ballyore

1697658

registered interest
date	20/03/2024
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	Mental Health Services: 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 improve mental health services and reduce waiting times for those seeking treatment.
tabling member printed	Lord Hay of Ballyore
uin	HL3450
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>We are providing record levels of investment and increasing the mental health workforce to expand and transform National Health Service mental health services, to expand access and reduce waiting times. Between 2018/19 and 2023/24, NHS spending on mental health has increased by £4.6 billion in cash terms, as compared to the target of £3.4 billion in cash terms set out at the time of the NHS Long Term Plan. The plan committed to grow the mental health workforce by an additional 27,000 staff between 2019/20 and 2023/24. We are making positive progress, delivering two-thirds of this, approximately 17,000, by September 2023, with further significant growth expected by the end of this financial year.</p><p>The NHS is also working towards implementing five new waiting time measures for people requiring mental healthcare in both accident and emergency and in the community, for both adults, and children and young people. This includes working towards improving the quality of data that we have on waiting times for people requiring mental healthcare in both accident and emergency and in the community. NHS England began publishing this new data in 2023 to improve transparency and drive local accountability.</p> answering member printed Lord Markham question first answered 25/03/2024 16:06:26 answering member 4948 label Biography information for Lord Markham
tabling member	4352 label Biography information for Lord Hay of Ballyore

1697659

registered interest
date	20/03/2024
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	Alzheimer's Disease: Research
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to increase funding and support for Alzheimer's research to accelerate the development of effective treatments and improve early diagnosis techniques.
tabling member printed	Lord Hay of Ballyore
uin	HL3451
answer	answer is ministerial correction date of answer 28/03/2024 answer text <p>The Government is strongly committed to supporting research into dementia and has committed to double funding for dementia research, to £160 million per year, by the end of 2024/25. This will span all areas of research, including diagnosis and treatment of dementia, and more specifically Alzheimer’s disease.</p><p>The Government has allocated up to £120 million to the Dame Barbara Windsor Dementia Mission, which aims to speed up the development of new treatments through innovations in biomarkers, clinical trials, and implementation.</p><p>Alongside the mission, the Department, via the National Institute for Health and Care Research (NIHR), is funding a range of research to accelerate the development of effective treatments and to improve early diagnosis techniques. This includes investing almost £50 million into the NIHR’s Dementia Translational Research Collaboration Trials Network. This will expand the United Kingdom’s early phase clinical trial capabilities in dementia, speeding up the development of new treatments, and funding to the Blood Biomarker Challenge which could make the case for the use of a blood test in the National Health Service, to support diagnosis of dementia, including Alzheimer’s disease.</p> answering member printed Lord Markham question first answered 28/03/2024 12:49:31 answering member 4948 label Biography information for Lord Markham
tabling member	4352 label Biography information for Lord Hay of Ballyore

1697660

registered interest
date	20/03/2024
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	Haemochromatosis: Research
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to support research and development of treatments for patients with haemochromatosis.
tabling member printed	Lord Hay of Ballyore
uin	HL3452
answer	answer is ministerial correction date of answer 28/03/2024 answer text <p>The National Institute for Health and Care Research is currently directly funding one ongoing study on haemochromatosis, and over the last five years, has funded infrastructure to support seven others.</p> answering member printed Lord Markham question first answered 28/03/2024 13:00:59 answering member 4948 label Biography information for Lord Markham
tabling member	4352 label Biography information for Lord Hay of Ballyore

1697661

registered interest
date	20/03/2024
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	Rare Diseases: Health Services
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 equitable access to specialised care and support for patients with rare diseases across England.
tabling member printed	Lord Hay of Ballyore
uin	HL3453
answer	answer is ministerial correction date of answer 28/03/2024 answer text <p>In January 2021, the Government published the UK Rare Diseases Framework, providing a national vision for how to improve the lives of those living with rare diseases. The framework lists four priorities, collaboratively developed with the rare disease community, which are: helping patients get a final diagnosis faster; increasing awareness of rare diseases among healthcare professionals; better coordination of care; and improving access to specialist care, treatment, and drugs. The principles of the UK Rare Diseases Framework commit the four nations to ensuring that any impacts on health inequalities are considered when developing action plans.</p><p>Each year since 2021 we have published an England Rare Diseases Action Plan, with health equity highlighted as a focus area. On 29 February 2024 we published the third England Rare Diseases Action Plan, which is working to address these priorities. Several actions have been committed to in this year and previous year’s action plans, that relate to equitable access to specialised care and support for patients with rare diseases.</p> answering member printed Lord Markham question first answered 28/03/2024 13:00:33 answering member 4948 label Biography information for Lord Markham
tabling member	4352 label Biography information for Lord Hay of Ballyore

1697662

registered interest
date	20/03/2024
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	Rare Diseases: Carers and Families
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what provisions are in place to support the families and caregivers of individuals with rare diseases.
tabling member printed	Lord Hay of Ballyore
uin	HL3454
answer	answer is ministerial correction date of answer 02/04/2024 answer text <p>Each year since 2021, we have published an England Rare Diseases Action Plan. On 29 February 2024, we published the third England Rare Diseases Action Plan. In this plan we recognised that significant challenges exist with access to mental health and psychological support for people living with rare conditions, as well as their families and carers. During this year we have taken steps to further understand the challenges faced through a workshop, and have begun to address these needs by developing resources to better equip the workforce to provide support.</p><p>The enormous contribution of unpaid carers, including those caring for individuals with rare diseases, is reflected throughout the Next Steps to Put People at the Heart of Care, published in April 2023. Furthermore, the Better Care Fund in 2023/24 includes £327 million for carers support, including short breaks and respite services for carers. This also funds advice and support to carers, and a small number of additional local authority duties. The Accelerating Reform Fund also provides support for unpaid carers. The Government is developing a new survey of unpaid carers which will capture the wide range of experiences, circumstances, and needs of unpaid carers across England. Through the National Institute for Health and Care Research, an evaluation of the support provided to unpaid carers funded through the Better Care Fund has been commissioned, which will improve the understanding of what support works best for unpaid carers.</p> answering member printed Lord Markham question first answered 02/04/2024 14:39:25 answering member 4948 label Biography information for Lord Markham
tabling member	4352 label Biography information for Lord Hay of Ballyore

1697664

registered interest
date	20/03/2024
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	Childbirth
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what progress they have made in implementing the National Maternity Review’s report Better Births, published on 22 February 2016.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3456
answer	answer is ministerial correction date of answer 02/04/2024 answer text <p>The <em>Better Births</em> report sets out a vision for maternity services across England to become safer and more personalised. NHS England subsequently published their <em>Three-Year Delivery Plan for Maternity and Neonatal Services</em>, which sets out how maternity and neonatal care will be made safer, more personalised, and more equitable for women, babies, and families. The plan encompasses recommendations from several reports, including the National Maternity Review’s <em>Better Births</em> report.</p><p>Many initiatives are being delivered through the plan to implement the vision from <em>Better Births</em>, including continuity of carer, rolling out an updated version of the <em>Saving Babies Lives Care Bundle</em> to reduce stillbirth, neonatal brain injury, neonatal death, and preterm birth, and Local Maternity and Neonatal Systems producing Equity and Equality Action Plans to tackle disparities in the outcomes and experiences of maternity care at a local level.</p> answering member printed Lord Markham question first answered 02/04/2024 14:51:12 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath