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1659252

registered interest
date	07/09/2023
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: Children and Young People
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to reduce NHS treatment waiting times for children and young people.
tabling member printed	Baroness Merron
uin	HL9987
answer	answer is ministerial correction date of answer 13/09/2023 answer text <p>Cutting National Health Service waiting lists, including for elective child health services, is one of the Government’s top priorities. To support elective recovery, the Government plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity. Steps taken include increasing capacity, seeking alternative capacity in other trusts or the independent sector and engaging with patients to understand their choices.</p><p>We met our target to virtually eliminate long waits of two years or more for elective procedures in July 2022. We also virtually eliminated waits of over 18 months by the end of June 2023, a reduction of over 94% from the peak of 125,000 in September 2021. Our next ambition is to eliminate waits of 65 and 52 weeks.</p> answering member printed Lord Markham grouped question UIN HL9988 question first answered 13/09/2023 16:09:06 answering member 4948 label Biography information for Lord Markham
tabling member	347 label Biography information for Baroness Merron

1659253

registered interest
date	07/09/2023
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: 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 reduce backlogs for elective procedures in child health services.
tabling member printed	Baroness Merron
uin	HL9988
answer	answer is ministerial correction date of answer 13/09/2023 answer text <p>Cutting National Health Service waiting lists, including for elective child health services, is one of the Government’s top priorities. To support elective recovery, the Government plans to spend more than £8 billion from 2022/23 to 2024/25 to help drive up and protect elective activity. Steps taken include increasing capacity, seeking alternative capacity in other trusts or the independent sector and engaging with patients to understand their choices.</p><p>We met our target to virtually eliminate long waits of two years or more for elective procedures in July 2022. We also virtually eliminated waits of over 18 months by the end of June 2023, a reduction of over 94% from the peak of 125,000 in September 2021. Our next ambition is to eliminate waits of 65 and 52 weeks.</p> answering member printed Lord Markham grouped question UIN HL9987 question first answered 13/09/2023 16:09:06 answering member 4948 label Biography information for Lord Markham
tabling member	347 label Biography information for Baroness Merron

1659258

registered interest
date	07/09/2023
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: Young People
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 young people have timely access to mental health services.
tabling member printed	Earl Russell
uin	HL9993
answer	answer is ministerial correction date of answer 14/09/2023 answer text <p>Under the NHS Long Term Plan, we are investing an additional £2.3 billion per year by March 2024 to enable an extra two million people in England, including 345,000 children and young people, to access National Health Service-funded mental health support.</p><p>We also provided an additional £500 million for 2021/22, targeting those groups whose mental health has been most affected by the pandemic, including children and young people. Within the £500 million, £79 million was invested to allow around 22,500 more children and young people to access community health services, 2,000 more to access eating disorder services and a faster increase in the coverage of mental health support teams in schools and colleges. £13 million was invested to ensure young adults aged 18 to 25, including university students, were supported with tailored mental health support, helping bridge the gap between children’s and adult services.</p><p>In February, NHS England published the outcomes of its consultation on the potential to introduce five new access and waiting time standards for mental health services, including that children and young people should start to receive care within four weeks from referral, as part of its clinically led review of National Health Service access standards. We are now working with NHS England on the next steps.</p> answering member printed Lord Markham question first answered 14/09/2023 10:35:39 answering member 4948 label Biography information for Lord Markham
tabling member	4983 label Biography information for Earl Russell

1659265

registered interest
date	07/09/2023
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Poverty
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 Poverty Strategy Commission’s interim report A New Framework for Tackling Poverty, published on 5 September, and in particular the recommendations that a net rise in benefit awards by 5 per cent would reduce numbers in poverty by 725,000 and a net rise in earnings wound reduce poverty by 515,000.
tabling member printed	The Lord Bishop of Southwark
uin	HL10000
answer	answer is ministerial correction date of answer 14/09/2023 answer text <p>The Department for Work and Pensions has not undertaken any specific assessment but notes that the analysis included in the report is based on the Social Metric Commission’s (SMC) measure of poverty.</p><p> </p><p>The Government accepts that the SMC’s approach offers a more expansive view of inescapable costs, and alternative income sources will add new insight to the understanding of poverty. In March 2023, the Department for Work and Pensions announced plans to resume work developing an experimental measure of poverty based on the SMC’s innovative work. The Government already publishes national statistics on low income using a range of measures.</p><p>The Government’s focus is firmly on supporting people into and to progress in work. Our approach is based on clear evidence about the importance of employment, particularly where it is full-time, in substantially reducing the risks of poverty.  The latest statistics show that working age adults living in workless households were over 7 times more likely to be in absolute poverty after housing costs than working age adults in households where all adults work. To help people into work our core Jobcentre offer provides a range of options, including face-to-face time with work coaches and interview assistance. We are also addressing progression barriers through our comprehensive package of childcare support, our in work progression offer, and changes to the administrative earnings threshold which ensure that more claimants can benefit from work coach support.</p><p>The Government understands the pressures people are facing with the cost of living and is taking action to help. Overall, we are providing total support of over £94bn over 2022-23 and 2023-24 to help households and individuals with the rising cost of bills. From April 2023, everyone who receives a state benefit or pension will have seen their benefit rates increase by 10.1%.</p> answering member printed Viscount Younger of Leckie question first answered 14/09/2023 12:43:54 answering member 4169 label Biography information for Viscount Younger of Leckie
tabling member	4345 label Biography information for The Lord Bishop of Southwark

1658866

registered interest
date	06/09/2023
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	Integrated Care Boards: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what was the aggregate financial surplus or deficit for each integrated care board in England at the end of the first quarter of the 2023–24 financial year; and what was the percentage change from the surplus or deficit at the beginning of the 2023–24 financial year.
tabling member printed	Lord Bradley
uin	HL9932
answer	answer is ministerial correction date of answer 12/09/2023 answer text <p>At the beginning of each financial year, all integrated care boards (ICBs) will agree a plan for the year with NHS England that includes expected expenditure against budgets for each month. At the end of the first quarter, several ICBs have reported an overspend against the agreed plan for that quarter. A table of the full list of these ICBs is attached.</p> answering member printed Lord Markham question first answered 12/09/2023 14:44:13 answering member 4948 label Biography information for Lord Markham attachment 1 file name ICBs reporting overspend.xlsx title ICBs reporting overspend
tabling member	452 label Biography information for Lord Bradley

1658868

registered interest
date	06/09/2023
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	Cancer: Young People
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 campaign by Young Lives vs Cancer to establish a fund to help cover the cost of travelling to treatment for young cancer patients.
tabling member printed	Lord Hunt of Kings Heath
uin	HL9934
answer	answer is ministerial correction date of answer 13/09/2023 answer text <p>The Minister of State for Health and Secondary Care (Will Quince MP) is aware of this campaign and has exchanged correspondence with Young Lives vs Cancer on this matter.</p><p>The Government recognises that the cost of travel should not be a barrier to treatment. There are schemes, such as the Healthcare Travel Costs Scheme, in place to provide financial assistance for travel to a hospital or other National Health Service premises for specialist NHS treatment or diagnostics tests when referred by a doctor or other primary healthcare professional.</p> answering member printed Lord Markham question first answered 13/09/2023 16:08:28 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1658869

registered interest
date	06/09/2023
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	Abortion: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Markham on 24 August (HL9115), why they have no plans to update Required Standard Operating Procedures for collecting information on medical complications associated with women accessing home-use early medical abortions; and on what evidence this decision has been made.
tabling member printed	Lord Jackson of Peterborough
uin	HL9935
answer	answer is ministerial correction date of answer 14/09/2023 answer text <p>The purpose of the Required Standard Operating Procedures (RSOPs) is to set out the relevant legislation and make explicit the conditions and requirements for all independent sector places to be approved for undertaking termination of pregnancy.</p><p>In accordance with the Abortion Act 1967 and the Abortion Regulations 1991, all abortions performed in England must be notified to the Chief Medical Officer within 14 days. Any complication known at that time should be recorded on the HSA4 abortion notification form. This requirement is clearly stated in the RSOPs.</p><p>Complications recorded in other patient record systems such as Hospital Episodes Statistics, where the woman has attended a health service after being discharged, are beyond the scope of the RSOPs.</p> answering member printed Lord Markham question first answered 14/09/2023 10:34:53 answering member 4948 label Biography information for Lord Markham
tabling member	1551 label Biography information for Lord Jackson of Peterborough

1658875

registered interest
date	06/09/2023
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	Disability: Mental Illness
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, following the publication of the Inequalities in disability report by the Institute of Fiscal Studies on 23 August, what steps they are taking to address the rise in mental health issues and disability benefit claims among children, and in particular the doubling of the rate of girls aged 16 who are in contact with mental health services since 2017–18.
tabling member printed	The Marquess of Lothian
uin	HL9941
answer	answer is ministerial correction date of answer 13/09/2023 answer text <p>We are progressing work with NHS England to increase access to children and young people’s mental health services as outlined in the NHS Long Term Plan. The NHS Long Term Plan commits to increasing investment in mental health services by at least £2.3 billion a year by March 2024 so that an additional 345,000 children and young people are able to get the National Health Service-funded mental health support they need.</p> answering member printed Lord Markham question first answered 13/09/2023 15:30:03 answering member 4948 label Biography information for Lord Markham
tabling member	259 label Biography information for The Marquess of Lothian

1658878

registered interest
date	06/09/2023
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	Genito-urinary medicine
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they have assessed demographic data in respect of the move by some sexual health services to offer in-person appointments only to those reporting symptoms of a sexually transmitted infection.
tabling member printed	Baroness Merron
uin	HL9944
answer	answer is ministerial correction date of answer 13/09/2023 answer text <p>No assessment has been made of demographic data on provision of sexual health services.</p><p>Local authorities are responsible for commissioning comprehensive open access to most sexual health services through the public health grant funded at £3.5 billion in 2023/24.  It is for individual local authorities to decide their spending priorities based on an assessment of local need and to commission and evaluate the service lines that best suit their population, including online and in-person provision.</p> answering member printed Lord Markham question first answered 13/09/2023 16:09:28 answering member 4948 label Biography information for Lord Markham
tabling member	347 label Biography information for Baroness Merron

1658881

registered interest
date	06/09/2023
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	Bishop's Castle Community Hospital: Hospital Beds
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government why the in-patient beds at Bishop’s Castle Community Hospital in Shropshire have been closed; and what plans they have to reopen them.
tabling member printed	Lord Rooker
uin	HL9947
answer	answer is ministerial correction date of answer 13/09/2023 answer text <p>NHS Shropshire, Telford and Wrekin commissions Shropshire Community Health NHS Trust to provide services in Bishop’s Castle Community Hospital, including inpatient bed facilities. 16 inpatient beds were temporarily closed in October 2021 due to sustained and unacceptable nursing vacancies and concerns about the quality of care and patient safety.</p><p> </p><p>In August 2023, the trust commissioned an external review of its recruitment process and on 12 June 2023 began a period of formal engagement with patients, carers, members of the public, stakeholders, clinicians, and staff to inform its final decision on whether to relinquish the contract it holds for the inpatient service.</p><p> </p><p>A board meeting was held on 7 September 2023, which considered the details of the reports from all the planned engagement activity. The Board concluded that it cannot be assured the recruitment efforts have been reasonable and sufficient and further recruitment attempts are needed before withdrawing from the inpatient service. The trust will now produce a workforce and recruitment plan and re-attempt recruitment with a view to safely staffing and re-opening the beds.</p> answering member printed Lord Markham question first answered 13/09/2023 13:38:36 answering member 4948 label Biography information for Lord Markham
tabling member	302 label Biography information for Lord Rooker