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1713278

registered interest
date	23/04/2024
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	General Practitioners: Employment
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment, if any, they have made of the number of GPs currently seeking, yet unable to obtain, employment.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL4019
answer	answer is ministerial correction date of answer 21/05/2024 answer text <p>There is no centrally held data on the number of general practice vacancies.</p><p>The Government remains committed to growing the number of doctors working in general practice. NHS England has made available a number of recruitment schemes, including the Targeted Enhanced Recruitment Scheme and the Return to Practice Programme.</p><p>The headcount of doctors working in general practice in March 2024 was 4,282 more, including 2,709 full time equivalent (FTE) doctors, than in March 2019.</p><p>The latest available data, as of March 2024, shows that the headcount of doctors in general practice in England was 47,173, including 37,235 FTE doctors, of whom 37,399 (27,574 FTE) were fully qualified general practioners.</p> answering member printed Lord Markham grouped question UIN HL4372 question first answered 21/05/2024 11:16:59 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1713279

registered interest
date	23/04/2024
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 Professions: Regulation
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what progress they have made towards the new regulatory system for health and care professionals; and which protected professional titles they are considering in scope of these regulations.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL4020
answer	answer is ministerial correction date of answer 30/04/2024 answer text <p>The Anaesthesia Associates and Physician Associates Order 2024 was made on 13 March 2024 which will bring anaesthesia associates and physician associates into regulation by the General Medical Council under a reformed regulatory framework. We are currently working on the next phase of reform, which will introduce a new regulatory framework for medical practitioners and the professions regulated by the Nursing and Midwifery Council and the Health and Care Professions Council.</p><p>As part of the Government’s regulatory reform programme, protected titles will be considered more broadly, as we take forward legislation for each regulator.</p> answering member printed Lord Markham question first answered 30/04/2024 16:54:38 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1702314

registered interest
date	18/04/2024
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Clothing: Manufacturing Industries
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government when they expect the official evaluation of Operation Tacit to be published; and what steps they are planning in response.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3925
answer	answer is ministerial correction date of answer 02/05/2024 answer text <p>The Director of Labour Market Enforcement (DLME) has undertaken an independent review of Operation Tacit. The objectives of the upcoming report can be found here <a href="https://www.gov.uk/government/publications/review-of-operation-tacit/review-of-operation-tacit#reporting" target="_blank">Review of Operation Tacit - GOV.UK (www.gov.uk)</a>. The DLME will publish her findings in due course. The Home Office will consider all recommendations and respond appropriately.</p> answering member printed Lord Sharpe of Epsom question first answered 02/05/2024 16:13:38 answering member 4888 label Biography information for Lord Sharpe of Epsom
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1702315

registered interest
date	18/04/2024
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	Antibiotics
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 report Antibiotic underdosing and disposal in NHS organisations across Great Britain, published in November 2023; and what discussions they have had with the Care Quality Commission on integrating line flushing policies and practices into the assessment framework for care provided in England.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3926
answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>Officials are aware of, and have considered, the findings of the report Antibiotic underdosing and disposal in NHS organisations across Great Britain. Officials from the Department have not had any recent discussions with the Care Quality Commission on integrating line flushing policies and practices into the assessment framework for care provided in England.</p><p> </p><p>General guidance on prescribing and the use of medicines is published by the National Institute for Health and Care Excellence in an online-only format. Good clinical practice is to flush an intravenous line with saline after a medicine has been administered, to ensure the full dose is delivered to the patient. This is not unique to antibiotics.</p> answering member printed Lord Markham question first answered 01/05/2024 11:05:34 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1702316

registered interest
date	18/04/2024
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	Magnetic Resonance Imagers: Helium
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 minimal usage of helium in MRI scanners in NHS facilities in the light of the global shortage of helium; and what steps they are taking to ensure all helium in scanners being replaced is reused appropriately.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3927
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>Suppliers of magnetic resonance imaging (MRI) scanners are moving to a sealed helium solution, whereby the helium required to cool the magnet is approximately 0.5% of the current levels. These sealed systems will also ensure MRI scanners do not require further helium to be added during years of operational use.</p><p>Furthermore, suppliers are now replacing MRI scanners without requiring the magnet to be replaced, though this is only available for the first replacement cycle, whereby the scanner is fully replaced, but the existing magnet and helium are retained.</p><p>With regards to the Department, as set out in the recent Medical Technology Strategy: One Year On publication, the Design for Life Programme has been stood up to work with industry, the health and care sector, and academic partners to develop medical technology systems that support reuse, remanufacture, and material recovery becoming the default. This includes developing regulatory, commercial, digital, and policy environments that support this aim. The Department’s intention is to publish a roadmap later this year to articulate our relevant findings and plans moving forward.</p> answering member printed Lord Markham question first answered 25/04/2024 14:24:02 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1702317

registered interest
date	18/04/2024
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	NHS: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many NHS boards have included sustainability in their assurance framework.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3928
answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>It is the legal duty for integrated care boards (ICBs) and their partner National Health Service foundation trusts under section 14Z44 of the NHS Act 2006 to consider sustainability when exercising their functions. ICBs and their partner NHS foundation trusts must consider section 1 of the Climate Change Act 2008, concerning United Kingdom net zero emission targets, and section 5 of the Environment Act 2021, concerning environmental targets. ICBs and their NHS foundation trusts must also adapt to any current or predicted impact of climate change identified in the most recent report under section 56 of the Climate Change Act 2008.</p><p>NHS England does not collect data on how many ICBs have included sustainability in their assurance framework.</p> answering member printed Lord Markham question first answered 01/05/2024 15:00:34 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1702318

registered interest
date	18/04/2024
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	Cotton: Imports
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 volume of cotton garments imported into the UK that are linked to environmental destruction in the Amazonian Cerrado.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3929
answer	answer is ministerial correction date of answer 02/05/2024 answer text <p>In 2023, only 0.01% of UK imports of clothing, at least some of which are made from cotton, came from Brazil.</p><p>The Government is concerned about environmental destruction in the Amazon, and the Government monitors trends of forest loss across the region, including Brazil. In May 2023, the Government published a joint declaration with Brazil on Green and Inclusive Growth. The Partnership will drive strengthened cooperation and dialogue, including on forests and agriculture.</p> answering member printed Lord Johnson of Lainston question first answered 02/05/2024 11:44:53 answering member 4949 label Biography information for Lord Johnson of Lainston
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1702319

registered interest
date	18/04/2024
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Food: Waste
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of reports of high levels of pollutants in food produced near waste incinerators in Europe; and whether they have any plans to conduct similar assessments in the UK.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3930
answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>The Environment Agency (EA) has not made any assessment of reports on this subject and does not plan to conduct any such assessments in England.</p><p> </p><p>The impact on food produced in proximity to waste incinerators is considered as part of environmental permitting regulations. The EA is responsible for deciding whether new incinerators in England should get a permit to operate. For each permit application it receives, the EA uses the results of air quality modelling and a human health risk assessment (HHRA) to determine the impact of the proposed incinerator.</p><p> </p><p>The HHRA assesses impacts on the food chain. Impact assessments are very conservative and permit decisions are based on worst-case scenario impacts.</p><p> </p><p>The EA also consults the UK Health Security Agency and the Food Standards Agency (FSA) on every permit application it receives and will not issue a permit if the proposed plant could cause significant pollution or harm to human health, including via the food chain.</p><p> </p><p>The FSA is responsible for the management of public health risks in relation to food. In general, the FSA considers that if incinerator facilities are correctly operated and monitored, with the appropriate level of emissions abatement, there should be no impact on the local area in terms of elevated levels of contaminants in soil and locally produced food. Measures are in place to manage the risk from chemical contaminants and keep levels as low as reasonably achievable through good practices and regulatory controls.</p> answering member printed Lord Douglas-Miller question first answered 26/04/2024 11:06:48 answering member 5006 label Biography information for Lord Douglas-Miller
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1699274

registered interest
date	27/03/2024
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	Physician Associates
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 25 March (HL2978), why they have specified how physician associates (PAs) are to be used, specifically with undifferentiated patients, rather than allowing GP practices to make their own decisions about the use of PAs.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3652
answer	answer is ministerial correction date of answer 05/04/2024 answer text <p>Physician Associates (PAs) work within a defined scope of practice and limits of competence. NHS England has provided recent guidance on the use of PAs in general practice (GP) teams. As set out in the Network Contract Directed Enhanced Service, PAs should be adequately supervised by a GP when providing care for undifferentiated patients.</p><p>In terms of employment choices, GPs are self-employed contractors to the National Health Service, and it is largely up to employers to determine how best to staff their primary care network or GP, to best meet the needs of their population.</p> answering member printed Lord Markham question first answered 05/04/2024 13:32:33 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1699317

registered interest
date	27/03/2024
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Fertilisers
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what consideration they have given to the regulation, or other oversight, of the sale of plant biostimulants, including consideration of their efficacy, safety and ecological impacts.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3653
answer	answer is ministerial correction date of answer 12/04/2024 answer text <p>The existing UK regulatory regime for the manufacture and placing of fertilisers on the market in the UK is fragmented and in need of modernisation. There are currently no specific requirements for plant biostimulants in domestic fertilisers legislation. However, Defra intends to improve on this by consolidating and streamlining the statute book and putting in place a conformity assessment framework for fertilisers. The framework will smooth the route to market for new and innovative products which are less polluting to the environment or are less resource intensive in their creation.</p><p>To support reform of fertilisers legislation Defra has funded a review of the evidence for the safe and effective use of plant biostimulants and a review of methods for evaluating methods for verifying the efficacy of plant biostimulants.</p><p>The potential impact of a chemical on plant health, including soil microbiomes is already considered, as appropriate, as part of HSE’s robust risk assessment process for pesticides and for biocides. In our regulatory programmes we do not assess the impacts of chemicals specifically on human and animal microbiomes and are not currently considering the introduction of such measures.</p> answering member printed Lord Douglas-Miller question first answered 12/04/2024 10:10:43 answering member 5006 label Biography information for Lord Douglas-Miller
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle