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982808

registered interest
date	09/10/2018
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	Radioisotopes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential effect of not having consistent and timely access to radioisotopes on the UK's ability to deliver radiotherapy for cancer patients.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	176159
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>Medical radioisotopes are essential in the effective treatment of many cancer patients and the Government believes it is vital to ensure consistent and timely access to these products for United Kingdom patients.</p><p> </p><p>As a responsible Government, we continue to prepare proportionately for all European Union exit scenarios, including the possible outcome that we leave the EU without any deal in March 2019. That is why on 23 August the Government announced details of its approach to no deal EU exit medicines contingency planning.</p><p> </p><p>Since writing to pharmaceutical companies, we have received good engagement from the industry who share our aims of ensuring patients maintain continuity of medicines supply. The Department continues to work closely with these companies to ensure that their UK supplies of medicines, including for cancer patients, are sufficient to cope with any potential delays at the border that may arise in the short term from the possible event of a no-deal Brexit.</p><p> </p><p>We recognise that medical radioisotopes and some other medicinal products have short shelf lives and cannot be stockpiled. Where such products are at present imported to the UK from the EU/European Union Economic Area (EEA) via road haulage and roll-on, roll-off sea, road and rail routes, the Department is asking suppliers to ensure they have plans in place to air freight those products to avoid any border delays that may arise at the end of March next year in the event of a no deal exit from the EU. We will consider how the Department may support suppliers in making arrangements to meet this expectation.</p><p> </p><p>The Government has also provided information to the public and Parliament on the likely impact of the UK’s withdrawal from the EU and Euratom on the importation of radioisotopes for medical use in the possible event that the UK leaves the EU without agreement, via a series of Technical Notices. Within these, the Government confirmed that in order to ensure continuity of supply in medicines, the UK will continue to accept batch testing of human medicines carried out in EU countries, other EEA countries and those third countries with which the EU has a Mutual Recognition Agreement.</p><p><strong> </strong></p><p><strong> </strong></p><p> </p><p> </p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 176160 176162 question first answered 11/10/2018 16:01:10 answering member 4095 label Biography information for Steve Barclay
tabling member	1591 label Biography information for Tim Farron

983828

registered interest
date	09/10/2018
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 England: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will introduce legislation for safe staffing levels in NHS England.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	177113
answer	answer is ministerial correction date of answer 17/10/2018 answer text <p>Patient safety remains a priority for the Department; however, we have no plans to bring forward new legislative proposals to ensure safe staffing levels are maintained in the National Health Service in England.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/10/2018 13:12:24 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4244 label Biography information for Jonathan Ashworth

984260

registered interest
date	09/10/2018
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	Buprenorphine
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what action they are taking (1) to remedy any buprenorphine shortage, and (2) to ensure that in the long term there is consistent and adequate supply of this medication, that it is available across the country and is not subject to unpredictable price fluctuations.
tabling member printed	Lord Carlile of Berriew
uin	HL10468
answer	answer is ministerial correction date of answer 17/10/2018 answer text <p>We are aware that there was a short-term supply issue which may have affected the availability in May 2018. This was because one of the main suppliers experienced delays in delivery, resulting in a short term out of stock period. Although supplies continued to remain available from other suppliers, we are aware that some may have struggled to support the increase in demand at short notice. The delivery issues were resolved quickly and the overall supply of buprenorphine tablets improved shortly afterwards.</p><p>Since this period, the Department has remained in regular contact with all United Kingdom licensed suppliers of buprenorphine and has been working closely with them to monitor their supply position. Based on these conversations, we have been assured that the available supplies are sufficient to meet the usual UK requirements for this drug. The Department continues to monitor this very closely to ensure that there is consistent and adequate supply of this medication across the country.</p><p>The Department is aware that since this short-term supply issue, the market price has increased. This increased purchase price is reflected in the reimbursement price paid to pharmacies, to ensure that supplies remain available to patients. The market for buprenorphine has generally been competitive and we expect the supply situation to improve over the coming weeks which is likely to result in an increasingly competitive market.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 17/10/2018 15:25:57 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1138 label Biography information for Lord Carlile of Berriew

984262

registered interest
date	09/10/2018
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: Children and Young People
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 report by the Education Policy Institute Access to children and young people's mental health services—2018, published 7 October, which states that the number of referrals to specialist child and adolescent mental health services in England has increased by 26 per cent over the last five years.
tabling member printed	Lord Chadlington
uin	HL10470
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>It is not possible to assess any meaningful trend in referral data. The current data available through the mental health services monthly statistics releases are experimental data and the data quality and coverage is improving over time.</p><p>The information in the Education Policy Institute’s report is based on 54 Freedom of Information responses. We cannot be certain whether the 54 responses received are representative of all providers. It is difficult therefore to be confident in the rise in referrals suggested in the report.</p> answering member printed Lord O'Shaughnessy question first answered 23/10/2018 11:12:12 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3318 label Biography information for Lord Chadlington

984272

registered interest
date	09/10/2018
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	Radioisotopes: Imports
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what progress has been made to secure trade agreements to ensure the security of supply of medical radioisotopes following Brexit.
tabling member printed	Baroness Golding
uin	HL10480
answer	answer is ministerial correction date of answer 17/10/2018 answer text <p>The United Kingdom already has robust, domestic regimes in place for the safety, security, transport, use and disposal of nuclear and radioactive materials – including medical radioisotopes – throughout their lifecycle. These regimes will remain in place when Euratom arrangements no longer apply in the UK, ensuring we exit with certainty, clarity and control.</p><p>The Government is continuing to prepare for all European Union exit scenarios and is confident that we will be able to continue to provide a seamless supply of medicines, including medical radioisotopes, to National Health Service patients from the moment we leave the EU.</p> answering member printed Lord O'Shaughnessy question first answered 17/10/2018 15:28:41 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	281 label Biography information for Baroness Golding

984286

registered interest
date	09/10/2018
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	Social Services: Fees and Charges
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what they estimate would be the cost of introducing a cap on social care costs along the lines proposed by the Dilnot report of (1) £35,000, (2) £75,000, or (3) £100,000.
tabling member printed	Lord Lipsey
uin	HL10494
answer	answer is ministerial correction date of answer 17/10/2018 answer text <p>The Government will work to address the challenges of social care for our ageing society to reach a longer-term sustainable settlement for social care. This is why the Government has committed to publishing a Green Paper later this year setting out its proposals for reform.</p><p>The Green Paper will bring forward ideas for including an element of risk pooling in the system, which will help to protect people from the unpredictability of care costs. An updated impact assessment and any relevant costings will be provided as part of the Green Paper publication.</p><p>Estimates of the cost of introducing a cap on social care costs, along the lines proposed by the 2011 Commission on Funding Care and Support, can be found in an Impact Assessment (IA) previously published by the Department in February 2015. A copy of the <em>Social Care Funding Reform Impact Assessment IA No: 9531</em> is attached.</p><p>It is important to note that the IA does not represent current Government plans, which will be set out following the social care Green Paper consultation, but is the last available published data on the cap.</p><p>The IA shows that the cost of a £72,000 cap, together with the means test reforms planned at the time, would be £1.79 billion in 2025/26 (in 2016/17 prices and assuming implementation in April 2016).</p> answering member printed Lord O'Shaughnessy question first answered 17/10/2018 15:27:18 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name 2015 Dilnot cap IA.pdf title Social Care Funding Reform Impact Assessment
tabling member	2492 label Biography information for Lord Lipsey

984301

registered interest
date	09/10/2018
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: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to ensure that Clinical Commissioning Groups work with local authorities to develop and implement plans for the improvement of children's mental health services as set out in the Future in Mind report published in 2015 by the Department of Health and NHS England.
tabling member printed	Lord Porter of Spalding
uin	HL10509
answer	answer is ministerial correction date of answer 17/10/2018 answer text <p>Following the publication of Future in Mind, every clinical commissioning group worked on the development of a local transformation plan for children and young people’s mental health services.</p><p>123 such plans were published in 2015, covering the whole of England. Local authorities were involved in the development of the plans as were children and young people and their families. NHS England ensures that local transformation plans are refreshed annually. Since 2016 this has been as part of local sustainability and transformation plans.</p> answering member printed Lord O'Shaughnessy question first answered 17/10/2018 15:00:39 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4555 label Biography information for Lord Porter of Spalding

984346

registered interest
date	09/10/2018
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	Visual Impairment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to support the provision of an adequate number of appropriately trained people as guides for the blind; and whether he has held discussions with the RNIB on the training of such guides.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	177307
answer	answer is ministerial correction date of answer 17/10/2018 answer text <p>Under the Care Act 2014, where an adult or carer appears to have care and support needs, the local authority must carry out an assessment, and meet any eligible needs. This includes those arising from sight impairment or blindness.</p><p> </p><p>The Department maintains the Certificate of Vision Impairment form, which is used by consultant ophthalmologists to certify an individual as sight impaired or severely sight impaired (blind). With permission, the form is shared with the patient’s local authority, who work with the person to assess what help and advice they need.</p><p> </p><p>The Department continues to support training and skills development for care workers, this year investing £12 million in the Workforce Development Fund for training to develop the social care workforce, and working with its delivery partner, Skills for Care, to provide a range of resources for providers to help attract, train and retain staff.</p><p> </p><p>The Department has not had any recent discussions with the Royal National Institute of Blind People regarding training people as guides for the blind.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/10/2018 13:11:14 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

984359

registered interest
date	09/10/2018
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	Prescriptions: ICT
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he plans to commence the roll out of electronic prescribing medications systems.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	177314
answer	answer is ministerial correction date of answer 15/10/2018 answer text <p>Work is already underway to accelerate the roll-out electronic prescribing and medicines administration systems across the NHS in England. Capital funding of £75 million over three years has been allocated to support this roll-out, with £16 million available in 2018/19.</p><p> </p><p>Trusts were invited to submit bids to be included in wave 1 of the roll-out in July 2018, and successful applicants were informed during at the beginning of October 2018.</p><p> </p><p>Further bids will be invited for wave 2 funding in January 2019 for award in the subsequent financial year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/10/2018 14:35:22 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

984364

registered interest
date	09/10/2018
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	Palliative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to include end of life care in the NHS Long Term Plan.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	177163
answer	answer is ministerial correction date of answer 16/10/2018 answer text <p>Delivering improvements to end of care is a key priority for this Government and end of life care is an important part of the proposals which are helping to shape the long-term plan for National Health Service.</p><p> </p><p>NHS England is now considering the many responses and submissions it has received, including those from end of life care charities, as part of the listening exercise it held to help develop and refine policy proposals for inclusion in the plan. NHS England will continue working with key stakeholders to test the plan before its publication in November 2018.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 176700 question first answered 16/10/2018 11:08:34 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	252 label Biography information for Dr David Drew