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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

1712630

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: Equality
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether all integrated care systems have published equity and equality plans, and whether they have taken action to reduce inequalities in experience and outcomes as recommended by the three year delivery plan for maternity and neonatal services, published on 30 March 2023.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3991
answer	answer is ministerial correction date of answer 07/05/2024 answer text <p>As of 25 April 2024, 39 out of 42 integrated care boards (ICBs) have published Equity and Equality Action Plans. NHS England’s regional teams are supporting the remaining ICBs to publish their plans.</p><p>NHS England has provided more than £20 million in funding to local maternity and neonatal systems (LMNS) each year to lead improvement of maternity and neonatal care around objectives set out in the Three year delivery plan for maternity and neonatal services, a copy of which is attached. This includes implementing LMNS Equity and Equality Action Plans. NHS England has also invested an annual recurrent £10 million to target action at the 10% most deprived areas of England, who we know are more likely to experience adverse outcomes during pregnancy and birth.</p> answering member printed Lord Markham question first answered 07/05/2024 12:34:40 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

1701972

registered interest
date	17/04/2024
answering body	Department for Levelling Up, Housing and Communities
answering dept id	211
answering dept short name	Levelling Up, Housing and Communities
answering dept sort name	Levelling Up, Housing and Communities
hansard heading	Disadvantaged: North East
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how they plan to reduce the rates of deaths of despair in the North East, which has over double the rate of London; and what assessment they have made of using rates of deaths of despair to assess progress on levelling up.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3887
answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>The Supplemental Substance Misuse Treatment and Recovery (SSMTR) Grant is the mechanism by which local authorities receive Drug Strategy funding to increase substance misuse treatment service capacity and the quality of interventions people receive. The SSMTR Grant is made available to local authorities on the condition of maintaining existing funding through the Public Health Grant.</p><p> </p><p>Details of the SSMTR Grant and the Inpatient Detox (IPD) Grant allocations for the North East are set out below.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p><strong>2022-23</strong></p></td><td><p><strong>2023-24</strong></p></td><td><p><strong>2024-25</strong></p></td><td><p><strong>2022-23 to 2024-25</strong></p></td></tr><tr><td><p>SSMTR</p></td><td><p>£7,051,992</p></td><td><p>£13,677,970</p></td><td><p>£24,787,253</p></td><td><p>£45,517,215</p></td></tr><tr><td><p>IPD</p></td><td><p>£727,295</p></td><td><p>£727,295</p></td><td><p>£727,295</p></td><td><p>£2,181,885</p></td></tr></tbody></table><p>DHSC is also providing £1,157,212 in funding to three local authorities in the North East (Middlesborough, Newcastle and Durham) to improve access to drug and alcohol treatment services for people who sleep rough or who are at risk of sleeping rough.</p><p> </p><p>On 11 September 2023, the Government published a Suicide Prevention Strategy for England, with over 130 actions that we believe will make progress towards our ambition to reduce the suicide rate within two and a half years. The Strategy includes an intention to write guidance for local areas to support them to align their own strategies with the national strategy.</p><p> </p><p>On 4 March 2024, we announced that 79 organisations up and down the country, including some in the North East, have been allocated funding from the £10 million Suicide Prevention VCSE Grant Fund. These organisations, from local, community-led through to national, are delivering a broad and diverse range of activity that will prevent suicides and save lives.</p><p> </p><p>The Levelling Up White Paper set out 12 missions, including the health mission, focused on improving Healthy Life Expectancy and narrowing the gap between local areas where it is highest and lowest.</p><p> </p><p>We are supporting people to live healthier lives, helping the NHS and social care to provide the best treatment and care for patients and tackling health disparities through national and system interventions such as the NHS’s Core20PLUS5 programme.</p><p> </p><p>We are monitoring progress on a range of behavioural risk factors and underlying drivers of health, which are likely to impact on the health mission. We continue to use metrics that are publicly available and routinely updated to measure the levelling up missions, chosen to show as comprehensive a picture across the UK as possible. We are committed to developing this data picture and improving understanding of health disparities at a local level.</p> answering member printed Baroness Swinburne question first answered 01/05/2024 13:23:43 answering member 4985 label Biography information for Baroness Swinburne
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1700776

registered interest
date	15/04/2024
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	Drugs: Prices
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government when they will publish a timeline for the implementation of the proposed changes to Drug Tariff Part IX; provide the definition of "quality" that will be used as part of the enhanced assessment process included in those proposed changes; and publish in full the responses received to that consultation.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3748
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>The consultation response on the proposed amendments to Part IX is expected to be released in May 2024, which will outline the Government’s response. Any amendments that are taken forward will happen gradually, with review points, and engagement with stakeholders, including industry, patient representatives, clinicians, and National Health Service organisations. The Department will share a timeline of the proposed changes taken forward in due course.</p><p>The Department believes that it is currently difficult to identify which devices are broadly comparable, and whether more expensive devices provide added value. The proposed amendments that were consulted on intend to increase meaningful choice, not to decrease choice for clinicians and patients. Comparison between products can increase awareness of different brands amongst prescribers, which can also support small and medium sized businesses in entering the market.</p><p>The Department is aware that there are some very good devices in use, relied upon by clinicians and patients. Part IX will remain a list of devices available to be prescribed in the community via the FP10 prescription route.</p> answering member printed Lord Markham grouped question UIN HL3749 question first answered 22/04/2024 15:14:34 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1700777

registered interest
date	15/04/2024
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	Incontinence: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to consult patients, clinicians and manufacturers on the categorisation of products available on Part IX of the Drug Tariff as proposed in the recent consultation paper; and what assessment they have made of the impact of the proposed changes to Drug Tariff Part IX on (1) patients with continence care needs, (2) continence care services, (3) the range of devices available to clinicians and patients, and (4) new product development and innovation in medical devices in the continence sector.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3749
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>The consultation response on the proposed amendments to Part IX is expected to be released in May 2024, which will outline the Government’s response. Any amendments that are taken forward will happen gradually, with review points, and engagement with stakeholders, including industry, patient representatives, clinicians, and National Health Service organisations. The Department will share a timeline of the proposed changes taken forward in due course.</p><p>The Department believes that it is currently difficult to identify which devices are broadly comparable, and whether more expensive devices provide added value. The proposed amendments that were consulted on intend to increase meaningful choice, not to decrease choice for clinicians and patients. Comparison between products can increase awareness of different brands amongst prescribers, which can also support small and medium sized businesses in entering the market.</p><p>The Department is aware that there are some very good devices in use, relied upon by clinicians and patients. Part IX will remain a list of devices available to be prescribed in the community via the FP10 prescription route.</p> answering member printed Lord Markham grouped question UIN HL3748 question first answered 22/04/2024 15:14:34 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1700778

registered interest
date	15/04/2024
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 Services: Legal Representation
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what was the annual spend by the health service on legal representation at inquests in the previous five years for which information is available.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3750
answer	answer is ministerial correction date of answer 14/05/2024 answer text <p>NHS Resolution manages clinical negligence and other claims against the National Health Service in England. The following table shows the amounts paid in accordance with the rules of the Clinical Negligence Scheme for Trusts (CNST), to support trusts at inquests and for associated costs to investigate entitlement to compensation, in the last five years:</p><table><tbody><tr><td><p>Payment Raised Year</p></td><td><p>Amount</p></td></tr><tr><td><p>2018/19</p></td><td><p>£2,968,153</p></td></tr><tr><td><p>2019/20</p></td><td><p>£2,223,095</p></td></tr><tr><td><p>2020/21</p></td><td><p>£1,614,820</p></td></tr><tr><td><p>2021/22</p></td><td><p>£1,545,135</p></td></tr><tr><td><p>2022/23</p></td><td><p>£1,623,211</p></td></tr><tr><td><p>Total</p></td><td><p>£9,974,414</p></td></tr></tbody></table><p>Source: NHS Resolution</p><p>The CNST handles all clinical negligence claims against member NHS bodies where the incident in question took place on or after 1 April 1995, or when the body joined the scheme if that is later. NHS Resolution is not involved in any arrangements that an individual trust might make outside of the scheme.</p><p>Information on the total spend by NHS trusts regarding coroner’s inquests is not collated or held centrally.</p> answering member printed Lord Markham question first answered 14/05/2024 11:49:03 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath