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1727976

registered interest
date	09/09/2024
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	Pregnancy: Folic Acid
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 need for an educational campaign to highlight the importance of taking folic acid supplements while pregnant to reduce the chances of brain and spinal conditions in foetuses.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL900
answer	answer is ministerial correction date of answer 16/09/2024 answer text <p>The Government and the devolved administrations recommend that women who could become pregnant, or plan to become pregnant, should take a daily supplement of 400 micrograms of folic acid before conception and up until the 12th week of pregnancy. This is in addition to any folic acid consumed through their diet.</p><p>In England, Start for Life provides information and support to pregnant women and expectant parents on the importance of taking folic acid on their website, and through an email programme. Public health messaging by health departments across the United Kingdom raises awareness of the importance of folic acid supplementation by women who may become pregnant, and for the first 12 weeks of pregnancy. The Government keeps the need for educational campaigns under review.</p><p>The Government monitors folate intake and status through the<em> National Diet and Nutrition Survey</em> (NDNS). The latest publication reported that 89% of women of childbearing age had increased risk of neural tube defects. New NDNS data, including folate status, is due to be published in early 2025.</p> answering member printed Baroness Merron question first answered 16/09/2024 15:25:42 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1727979

registered interest
date	09/09/2024
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	Influenza: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to paragraph 4.5.6 of the NHS Vaccination Strategy, published on 13 December 2023, what is their timeline for the development of a cost-benefit analysis on the centralised procurement and supply of adult flu vaccines.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL903
answer	answer is ministerial correction date of answer 16/09/2024 answer text <p>The NHS Vaccination Strategy outlined the intention to explore whether centralising the procurement and supply of adult flu vaccines could deliver better outcomes and address the existing clinical, operational, and financial challenges associated with local procurement. NHS England, the Department, and the UK Health Security Agency are working in partnership to plan a programme of work to consider this. This will include undertaking a cost-benefit analysis and market engagement with stakeholders. These plans, which include timelines, are still under development and subject to ministerial decision-making, but any potential changes as a result of this exploratory exercise will not be implemented before the 2026/27 financial year.</p> answering member printed Baroness Merron grouped question UIN HL904 question first answered 16/09/2024 15:34:23 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1727980

registered interest
date	09/09/2024
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	Influenza: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to paragraph 4.5.6 of the NHS Vaccination Strategy, published on 13 December 2023, what plans they have to engage with external stakeholders in the development of a cost-benefit analysis of the centralised procurement and supply of adult flu vaccines.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL904
answer	answer is ministerial correction date of answer 16/09/2024 answer text <p>The NHS Vaccination Strategy outlined the intention to explore whether centralising the procurement and supply of adult flu vaccines could deliver better outcomes and address the existing clinical, operational, and financial challenges associated with local procurement. NHS England, the Department, and the UK Health Security Agency are working in partnership to plan a programme of work to consider this. This will include undertaking a cost-benefit analysis and market engagement with stakeholders. These plans, which include timelines, are still under development and subject to ministerial decision-making, but any potential changes as a result of this exploratory exercise will not be implemented before the 2026/27 financial year.</p> answering member printed Baroness Merron grouped question UIN HL903 question first answered 16/09/2024 15:34:23 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1727482

registered interest
date	04/09/2024
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	Autism: Diagnosis
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to improve (1) the diagnosis of autism, and (2) support for those who are assessed as having autism.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL759
answer	answer is ministerial correction date of answer 12/09/2024 answer text <p>The Department is currently considering the next steps to improving diagnostic assessment and support for autistic people. It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population, including autism assessment and support services, in line with National Institute for Health and Care Excellence guidelines.</p><p>On 5 April 2023, NHS England published a national framework and operational guidance to deliver improved outcomes in all-age autism assessment pathways. This guidance will help ICBs and the National Health Service to deliver improved outcomes for children, young people, and adults referred to an autism assessment service. The guidance also sets out what support should be available before an assessment, and what support should follow a recent diagnosis of autism, based on the available evidence.</p><p>In 2024/25, £4.3 million is available nationally to improve services for autistic children and young people, including autism assessment services.</p> answering member printed Baroness Merron question first answered 12/09/2024 16:35:56 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1727204

registered interest
date	03/09/2024
answering body	Foreign, Commonwealth and Development Office
answering dept id	208
answering dept short name	Foreign, Commonwealth and Development Office
answering dept sort name	Foreign, Commonwealth and Development Office
hansard heading	Developing Countries: Education
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to convene with civil society organisations and education ministers from other governments on developing an international strategy for global learning.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL723
answer	answer is ministerial correction date of answer 17/09/2024 answer text <p>Foundational learning for all (numeracy, literacy and socio-emotional learning) is crucial to make progress in school, attain higher order skills, and reap education's full rewards. The UK works with civil society and education ministers from other governments to address the global learning crisis through The Global Coalition for Foundational Learning. The Global Coalition is working together to ensure that we meet undertakings set out in the 2022 Commitment to Action on Foundational Learning. This includes national governments committing to reducing by half, by 2030, the global share of children unable to read and understand a simple text by age ten, and to take urgent and decisive action to do so. 32 countries and 34 organisations, including civil society, have signed the commitment to action to date.</p> answering member printed Lord Collins of Highbury question first answered 17/09/2024 14:26:42 answering member 4222 label Biography information for Lord Collins of Highbury
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1727205

registered interest
date	03/09/2024
answering body	Department for Business and Trade
answering dept id	214
answering dept short name	Business and Trade
answering dept sort name	Business and Trade
hansard heading	Arms Trade: Israel
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what is their assessment of the current value of licensed UK arms exports to Israel, both direct and via third party states, and including through open licences.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL724
answer	answer is ministerial correction date of answer 19/09/2024 answer text <p>The maximum value of UK SIELs (Standard Individual Export Licences) issued for direct export to Israel was £24.9 million in 2023.</p><p> </p><p>The maximum value of UK SIELs where Israel was listed as an ultimate end-user, alongside multiple other destinations was £134.9 million in 2023. It is not possible to ascertain what proportion of that amount is attributable to Israel alone.</p><p> </p><p>We do not hold data on value of any other licence type, including open licences. Data on the value of SIELs to Israel in 2024 has not yet been published.</p> answering member printed Baroness Jones of Whitchurch question first answered 19/09/2024 15:17:04 answering member 3792 label Biography information for Baroness Jones of Whitchurch
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1727206

registered interest
date	03/09/2024
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	Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government when they intend to respond to the outstanding Joint Committee on Vaccination and Immunisation recommendations in relation to the approval and commissioning of new vaccines.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL725
answer	answer is ministerial correction date of answer 10/09/2024 answer text <p>Officials across the Department, the UK Health Security Agency, and NHS England routinely develop policy options based on the advice issued by the Joint Committee on Vaccination and Immunisation (JCVI).</p><p>Officials must consider a number of factors before a policy position can be established, and the time taken to complete this process can vary depending on these factors, and the nature of the JCVI’s advice. It is important to fully consider feasibility and all operational and clinical factors to maintain the high standards of the United Kingdom’s world-leading vaccination programmes, and ensure best value for money for taxpayers.</p><p>The Department aims to respond rapidly to the JCVI’s advice, as demonstrated by the recent introduction of programmes to protect older adults and infants, through maternal vaccination, from the respiratory syncytial virus.</p> answering member printed Baroness Merron question first answered 10/09/2024 16:01:56 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1727207

registered interest
date	03/09/2024
answering body	Department for Business and Trade
answering dept id	214
answering dept short name	Business and Trade
answering dept sort name	Business and Trade
hansard heading	Arms Trade: Export Controls
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what is the purpose of the UK’s arms export licensing criteria, and whether these criteria apply the precautionary principle over arms sales to prevent UK arms from being used in atrocities.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL726
answer	answer is ministerial correction date of answer 11/09/2024 answer text <p>The purpose of the UK’s arms export licensing criteria is to ensure that the Government’s decisions on export licences are informed by a set of criteria which promote global security and facilitate responsible exports. The Criteria enable the Government to operate one of the most robust and transparent export control regimes in the world. We consider all new licence applications against the Criteria and will refuse any which are inconsistent with them. Specifically, Criteria 2c states that the Government will not issue or maintain export licences if there is <em>a clear risk</em> that the items might be used to commit or facilitate serious violations of International Humanitarian Law.</p> answering member printed Baroness Jones of Whitchurch question first answered 11/09/2024 10:25:48 answering member 3792 label Biography information for Baroness Jones of Whitchurch
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1727208

registered interest
date	03/09/2024
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	Breast Cancer: Statistics
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 quality and consistency of triple negative breast cancer data collected in England; and what steps they are taking to improve it.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL727
answer	answer is ministerial correction date of answer 19/09/2024 answer text <p>Data on triple negative breast cancer for England is collected through the National Disease Registration Service (NDRS). An NDRS Quality Assurance Team is in place to identify, investigate, and monitor data quality issues, with over 130 Quality Assurance reports being run each month as well as quarterly reports to assess the completeness of key data.</p><p>To drive up the completeness of the data for triple negative breast cancer, progesterone receptor status, human epidermal growth factor receptor in situ hybridization status, and oestrogen receptor status are part of the Cancer Outcomes and Services Data set, which supports national registration.</p> answering member printed Baroness Merron question first answered 19/09/2024 13:18:13 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1726505

registered interest
date	02/09/2024
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	Influenza: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what timelines are in place for the development of a cost-benefit analysis on the centralised procurement and supply of adult flu vaccines, in line with paragraph 4.5.6 of the NHS Vaccination Strategy.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL680
answer	answer is ministerial correction date of answer 10/09/2024 answer text <p>The<em> NHS Vaccination Strategy</em> outlined the intention to explore whether centralising the procurement and supply of adult flu vaccines could deliver better outcomes and address the existing clinical, operational, and financial challenges associated with local procurement. NHS England, the Department, and the UK Health Security Agency are working in partnership on a programme of work to consider this. This will include undertaking a cost-benefit analysis and market engagement with stakeholders. The work, including timelines, is still under development and subject to ministerial decision-making.</p> answering member printed Baroness Merron grouped question UIN HL681 question first answered 10/09/2024 11:13:24 answering member 347 label Biography information for Baroness Merron
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick