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1715077

registered interest
date	30/04/2024
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	Diabetes: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to prevent children from developing diabetes at an early age.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4218
answer	answer is ministerial correction date of answer 08/05/2024 answer text <p>The Government is delivering an ambitious programme of work to help children and families maintain a healthier weight, which can prevent the onset of Type 2 diabetes.</p><p>The Soft Drinks Industry Levy (SDIL) is contributing to reductions in levels of childhood obesity by encouraging soft drinks producers to remove added sugar from products. Levels of sugar in SDIL products have reduced by 46%, removing over 46,000 tonnes of sugar.</p><p>The Department supports three million children through the Healthy Food Schemes, which encourage and contribute to a healthy and balanced diet.</p> answering member printed Lord Markham question first answered 08/05/2024 15:02:58 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1715078

registered interest
date	30/04/2024
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	Maternity Services: Training
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether NHS England, integrated care boards, and NHS Trusts have ensured that all maternity and neonatal staff have had the training, supervision, and support as required.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4219
answer	answer is ministerial correction date of answer 08/05/2024 answer text <p>Regulated healthcare professionals need to meet the education and training standards set by their profession’s regulator. It is the responsibility of individual employers to ensure that their staff are trained and competent to carry out the role for which they are employed, and for making decisions about the ongoing professional training and development requirements of their staff. This includes responsibility for investing in the future of their staff, through providing continuing professional development funding.</p><p>Mandatory training for maternity staff is outlined in Core competency framework Version 2: Minimum standards and stretch targets, which provides both the minimum standards and stretch targets. Compliance with the core competency framework is overseen by integrated care boards and is incentivised through the Maternity Incentive Scheme which is administered by NHS Resolution. A copy of the framework is attached.</p><p>Support for staff working in maternity and neonatal services is provided by Professional Midwifery Advocates and Professional Nurse Advocates. This is a non-statutory model of clinical supervision. There are 1400 Professional Midwifery Advocates and approximately 300 Professional Nurse Advocates working in trusts in England.</p> answering member printed Lord Markham question first answered 08/05/2024 14:53:34 answering member 4948 label Biography information for Lord Markham attachment 1 file name PRN00239ii-ccf-minimum-standards-and-stretch-targets (2).pdf title Core competency framework Version 2
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1715079

registered interest
date	30/04/2024
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	Diabetes: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of the impact of high rates of childhood obesity on future diabetes rates; and what assessment they have made of the impact that this will have on the NHS's future spend on diabetes.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4220
answer	answer is ministerial correction date of answer 08/05/2024 answer text <p>NHS England has data from national diabetes audits showing the increasing numbers of young people being diagnosed with Type 2 diabetes over the past five years. NHS England knows that 93.5% of children with Type 2 diabetes that are under the care of paediatric diabetes units are overweight or obese, with a body mass index above the 85th centile after correction for age and gender.</p><p>Core20PLUS5 – Children and Young People includes diabetes as a key clinical area and has two key areas of clinical focus, namely to increase access to real time continuous glucose monitoring and insulin pumps for children and young people in the most deprived quintiles and from ethnic minority backgrounds, and increase the proportion of children and young people with Type 2 diabetes receiving all the care processes recommended in guidance from the National Institute for Health and Care Excellence.</p><p>Key diabetes health metrics, such as blood glucose levels, are poorest in young adults aged between 19 and 25 years old. To address this age-related health inequality, 15 ‘Transition and Young Adult’ pilots were established by the NHS Diabetes Programme in 2022-2025 to test models of care for young adults with diabetes and those transitioning from paediatric to adult diabetes services. The pilots will be evaluated to inform the evidence base on how to best deliver care and improve outcomes for this group.</p> answering member printed Lord Markham question first answered 08/05/2024 14:52:27 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1715080

registered interest
date	30/04/2024
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	Patients: Safety
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether the Patient Safety Incident Response Framework has been fully implemented throughout the NHS to support learning and compassionate responses to families following any incidents.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4221
answer	answer is ministerial correction date of answer 08/05/2024 answer text <p>Compliance with the Patient Safety Incident Response Framework (PSIRF) is now a contractual requirement for all services commissioned under the NHS Standard Contract. Implementing the PSIRF is an ongoing process and organisations’ approach to patient safety incident response can and should evolve over time. Work is also underway to explore implementation of the PSIRF in wider services within the National Health Service, such as primary care.</p> answering member printed Lord Markham question first answered 08/05/2024 14:50:39 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1715081

registered interest
date	30/04/2024
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	Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government when they expect to publish a health prevention strategy.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4222
answer	answer is ministerial correction date of answer 08/05/2024 answer text <p>The Major Conditions Strategy outlines our approach in tackling six groups of major health conditions, by creating a health and care system that is faster, simpler, and fairer, focusing on prevention, proactive care and more person centred care. Since announcing the Major Conditions Strategy in January 2023, we have been working with a range of stakeholders in the health and care system, including those with lived experience, to identify what would make the most difference in tackling the six major conditions groups that account for around 60% of ill-health and early death in England.</p><p>We aim to publish the final strategy in summer of this year.</p> answering member printed Lord Markham question first answered 08/05/2024 14:54:06 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1712625

registered interest
date	22/04/2024
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	Maternity Disparities Taskforce
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether there have been any outcomes from the work of the Maternity Disparities Taskforce.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3986
answer	answer is ministerial correction date of answer 07/05/2024 answer text <p>The Maternity Disparities Taskforce has met six times. The taskforce will meet again in due course, to further explore and consider evidence-based interventions to tackle disparities in maternity outcomes and experience.</p><p>The taskforce is currently focused on developing a targeted pre-pregnancy toolkit, aimed at women from ethnic minorities and deprived areas, which will encourage healthy behaviours and planning for pregnancy by supporting women to make informed choices about their health and wellbeing.</p> answering member printed Lord Markham grouped question UIN HL3987 HL3988 question first answered 07/05/2024 12:24:22 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1712626

registered interest
date	22/04/2024
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	Maternity Disparities Taskforce
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many meetings of the Maternity Disparities Taskforce have taken place since its establishment.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3987
answer	answer is ministerial correction date of answer 07/05/2024 answer text <p>The Maternity Disparities Taskforce has met six times. The taskforce will meet again in due course, to further explore and consider evidence-based interventions to tackle disparities in maternity outcomes and experience.</p><p>The taskforce is currently focused on developing a targeted pre-pregnancy toolkit, aimed at women from ethnic minorities and deprived areas, which will encourage healthy behaviours and planning for pregnancy by supporting women to make informed choices about their health and wellbeing.</p> answering member printed Lord Markham grouped question UIN HL3986 HL3988 question first answered 07/05/2024 12:24:22 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1712627

registered interest
date	22/04/2024
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	Maternity Disparities Taskforce
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether there are any further meetings planned for the Maternity Disparities Taskforce.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3988
answer	answer is ministerial correction date of answer 07/05/2024 answer text <p>The Maternity Disparities Taskforce has met six times. The taskforce will meet again in due course, to further explore and consider evidence-based interventions to tackle disparities in maternity outcomes and experience.</p><p>The taskforce is currently focused on developing a targeted pre-pregnancy toolkit, aimed at women from ethnic minorities and deprived areas, which will encourage healthy behaviours and planning for pregnancy by supporting women to make informed choices about their health and wellbeing.</p> answering member printed Lord Markham grouped question UIN HL3986 HL3987 question first answered 07/05/2024 12:24:22 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1712628

registered interest
date	22/04/2024
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	Maternity Services
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 three year delivery plan for maternity and neonatal services, published on 30 March 2023.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3989
answer	answer is ministerial correction date of answer 07/05/2024 answer text <p>NHS England is making good progress in delivering its Three year delivery plan for maternity and neonatal services, a copy of which is attached. The plan is backed by £186 million of funding per year from April 2024, which sets out how maternity and neonatal care will be made safer, more personalised, and more equitable for women, babies, and families.</p><p>For example, many local maternity and neonatal systems have published Equity and Equality Action Plans to tackle disparities in outcomes and experiences of maternity care at a local level. NHS England has published new guidance for general practitioners on the 6-8 week postnatal check, all parts of England have begun rollout of perinatal pelvic health services and 39 maternal mental health services have been established.</p><p>All trusts are implementing the third version of the Saving Babies Lives Care Bundle which provides maternity units with detailed guidance to reduce stillbirths and neonatal deaths.</p><p>NHS England’s Digital Maternity Fund has awarded 128 funding bids to support the digitisation of maternity services across England and NHS England have established a new data taskforce to better detect and act sooner on safety issues.</p><p>Finally, to increase neonatal cot capacity, £45 million of capital was allocated across several providers to deliver an overall increase of more than 50 cots.</p> answering member printed Lord Markham question first answered 07/05/2024 12:37:25 answering member 4948 label Biography information for Lord Markham attachment 1 file name B1915-three-year-delivery-plan-for-maternity-and-neonatal-services-march-2023.pdf title 3yr delivery plan - maternity & neonatal services
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1712629

registered interest
date	22/04/2024
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	Maternity Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what progress they have made in establishing specialist care for maternity and neonatal services in every area of England, including pelvic health services and bereavement care.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3990
answer	answer is ministerial correction date of answer 07/05/2024 answer text <p>NHS England has committed to rolling out perinatal pelvic health services (PPHS) across England as part of the Three year delivery plan for maternity and neonatal services, and has recently published a national service specification and implementation guidance, which will aid local National Health Service commissioners in establishing them. A copy of the plan is attached.</p><p>As of February 2024, 19 integrated care boards (ICBs) have confirmed their PPHS is operational, while sustainable commissioning arrangements are in place across 17 ICBs.</p><p>The National Bereavement Care Pathway (NBCP) for Pregnancy and Baby Loss was launched with Departmental funding in 2017. Based on nine standards, it is a dedicated evidence-based care pathway, with guidance for professionals providing bereavement care to parents and families. Ensuring parent voice is at the heart of the NBCP's development, Sands has led on its development and implementation. As of January 2024, 126 NHS trusts in England with maternity services have voluntarily committed to adopting the nine NBCP standards.</p> answering member printed Lord Markham question first answered 07/05/2024 12:36:19 answering member 4948 label Biography information for Lord Markham attachment 1 file name B1915-three-year-delivery-plan-for-maternity-and-neonatal-services-march-2023.pdf title 3yr delivery plan - maternity & neonatal services
tabling member	2024 label Biography information for Lord Hunt of Kings Heath