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1029099

	registered interest
	date	19/12/2018
	answering body	Ministry of Housing, Communities and Local Government
	answering dept id	7
	answering dept short name	Housing, Communities and Local Government
	answering dept sort name	Housing, Communities and Local Government
	hansard heading	Holiday Accommodation: Registration
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of steps taken in other countries requiring home owners to offer only their primary residences as short-term holiday lets and to register with the local council and pay a fee before doing so.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL12447
	answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>We do not intend to introduce new legislation to prohibit short term lets or require households to register these lets. Instead, the Government is encouraging the Short Term Accommodation Association to drive up standards and promote best practice in the industry, and to work with local authorities to support their enforcement and monitoring functions.</p> answering member printed Lord Bourne of Aberystwyth question first answered 07/01/2019 16:01:08 answering member 4282 label Biography information for Lord Bourne of Aberystwyth
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

1051951

	registered interest
	date	30/01/2019
	answering body	Ministry of Housing, Communities and Local Government
	answering dept id	7
	answering dept short name	Housing, Communities and Local Government
	answering dept sort name	Housing, Communities and Local Government
	hansard heading	Holiday Accommodation: Greater Manchester
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of concerns about the growth in short-term letting in Manchester.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL13285
	answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>The Government has not made an assessment of concerns about the growth in short-term letting in Manchester. We believe that it is for local authorities to assess the impact within their area. The Government does however monitor broader trends in private rented housing through the English Housing Survey.</p><p> </p><p> </p> answering member printed Lord Bourne of Aberystwyth question first answered 11/02/2019 16:43:16 answering member 4282 label Biography information for Lord Bourne of Aberystwyth
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

1079482

	registered interest
	date	28/02/2019
	answering body	Ministry of Housing, Communities and Local Government
	answering dept id	7
	answering dept short name	Housing, Communities and Local Government
	answering dept sort name	Housing, Communities and Local Government
	hansard heading	Holiday Accommodation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the reply by Lord Bourne of Aberystwyth on 26 February (HL Deb, col 88), what assessment they have made (1) of reports in the media, as broadcast on BBC1 on 25 February, about companies offering advice to circumvent the 90-day limit for short-term lettings, and (2) of the existing regulatory framework for those who offer such lettings; and what plans they have to ensure that the 90-day limit is enforced.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL14143
	answer	answer is ministerial correction date of answer 13/03/2019 answer text <p>The Government has been clear that it is illegal to let a property out on a short-term basis in London for more than 90 days in a calendar year without appropriate planning permission. Therefore, the Government condemns any actions taken to encourage landlords to break the law.</p><p>We are encouraging the Short Term Accommodation Association (STAA) to drive up standards and promote best practice, and to work with local authorities to support their enforcement and monitoring functions. The STAA has developed a package of measures to help hosts, guests and building managers and owners understand their legal responsibilities, which will help to tackle awareness and enforcement of the 90 night rule.</p><p>Responsibility for enforcing the 90 night rule in London lies with local authorities, as it does for any breaches of planning control, and householders who breach the rules face potentially significant fines.</p> answering member printed Lord Bourne of Aberystwyth question first answered 13/03/2019 12:22:22 answering member 4282 label Biography information for Lord Bourne of Aberystwyth
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

1079483

	registered interest
	date	28/02/2019
	answering body	Ministry of Housing, Communities and Local Government
	answering dept id	7
	answering dept short name	Housing, Communities and Local Government
	answering dept sort name	Housing, Communities and Local Government
	hansard heading	Holiday Accommodation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the reply by Lord Bourne of Aberystwyth on 26 February (HL Deb, col 89), what progress has been made on the introduction of the accreditation body for short-term lettings; what consultation has taken place and is planned to take place; who has been, or will be, consulted; and when they expect such a body to be established.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL14144
	answer	answer is ministerial correction date of answer 13/03/2019 answer text <p>We welcome the work that the Short Term Accommodation Association (STAA) is doing to drive up standards and promote best practice.</p><p>The STAA is introducing a voluntary industry accreditation scheme for short term rental businesses and hosts that allows properties to become STAA accredited if they meet certain standards, including on health and safety. The accreditation scheme is organised by Quality in Tourism, and has been developed in conjunction with Visit England and piloted with at least three different sized organisations. The scheme is live on the STAA’s website, and will be formally launched on 14 March at the STAA’s Short Stay Show annual industry conference.</p> answering member printed Lord Bourne of Aberystwyth question first answered 13/03/2019 12:21:46 answering member 4282 label Biography information for Lord Bourne of Aberystwyth
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

1121579

	registered interest
	date	11/04/2019
	answering body	Department for Business, Energy and Industrial Strategy
	answering dept id	201
	answering dept short name	Business, Energy and Industrial Strategy
	answering dept sort name	Business, Energy and Industrial Strategy
	hansard heading	Social Services: Pay
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to check whether agencies employing careworkers are paying the costs of such workers for their travel between clients.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL15230
	answer	answer is ministerial correction date of answer 29/04/2019 answer text <p>Time spent travelling from one client to another counts as time worked for minimum wage purposes, and the Government is clear that everyone entitled to the National Minimum and Living Wage (NMW) should receive it. Since 2015, the Government has almost doubled the budget for enforcing the NMW to £26.3 million, a record high.</p><p>Anyone who feels they are not receiving the NMW should contact the Advisory, Conciliation and Arbitration Service (Acas), who provide free, impartial information and advice on all aspects of workplace relations and employment law. Where appropriate, Acas can pass on complaints to HMRC for enforcement; HMRC follow up on all complaints received from workers about possible NMW underpayment.</p> answering member printed Lord Henley question first answered 29/04/2019 10:09:04 answering member 2616 label Biography information for Lord Henley
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

1123746

	registered interest
	date	29/04/2019
	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: Drug Resistance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of the effectiveness of their 2013–18 antimicrobial resistance strategy at addressing the problem of multi-resistant E. coli-like bacteria; what assessment they have made of recent trends in the number of multi-resistant E. coli-like bacteria in the UK; and what factors inform their view of the balance between efforts to reduce transmission and efforts to reduce the use of antibiotics.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL15384
	answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>While we can count many successes from our 2013-18 Antimicrobial Resistance (AMR) Strategy, resistance has continued to increase. In the United Kingdom we have seen a 35% increase in resistant blood stream infections in humans from 2013-17.</p><p>The number of bloodstream infections (BSIs) is increasing each year. Although the proportion of antibiotic resistant BSIs remain stable year to year, the burden on resistance increases. This is mostly due to increasing prevalence of E.coli bloodstream infections.</p><p>Estimates of the multi-resistant cases can be made, however not all the bacteria are tested against the same antibiotics, so a definitive number of cases cannot be given. The Public Health England Fingertips tool also has an indicator showing the rolling quarterly average proportion of E. coli blood specimens non-susceptible to at least three of the key antimicrobials (gentamicin, ciprofloxacin, piperacillin/tazobactam, 3rd-generation cephalosporins or carbapenems). For England this is 5.5% with little fluctuation over time.</p><p>This is exactly why the UK’s five-year national action plan for AMR, published alongside the UK 20-year vision for AMR on 24 January 2019, includes a strengthened focus on infection prevention and control, renewing our commitment to halve levels of healthcare associated Gram-negative blood stream infections (mostly E.coli) by 2023-24. The plan also sets a world-first target to reduce the actual numbers of resistant infections, with the aim to reduce them by 10% by 2025.</p><p>We are working with the devolved health administrations to develop consistent methodologies for reporting the incidence and mortality of key antibiotic resistant infections and antimicrobial use to allow us to report progress on the ambitions of the AMR national action plan.</p><p>As reductions in inappropriate prescribing also reduces the risk of promoting the growth of antibiotic-resistant bacteria, interventions to reduce antibiotic prescribing or transmission of the bacteria are complementary.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 14/05/2019 16:29:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

1127421

	registered interest
	date	20/05/2019
	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	Bacterial Diseases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 14 May (HL15384), what assessment they have made of the number of people, with or without resistant blood stream infections, who have Carbapenem resistant E. coli-like bacteria present in their bodies; and what (1) proposed, and (2) current, initiatives there are to control the transmission of such bacteria.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL15832
	answer	answer is ministerial correction date of answer 04/06/2019 answer text <p>The 2018 English surveillance programme for antimicrobial utilisation and resistance report contains information on carbapenem-resistant Escherichia coli (E. coli) causing bloodstream infections in England. In 2017 there were 18 cases. The number of people with other infections and carriage of E. coli resistant to carbapenems is harder to ascertain as surveillance is not as uniform.</p><p>Public Health England (PHE) publishes guidance on the prevention and control of carbapenemase-producing Enterobacteriaceae (including E. coli); guidance is available for both acute and non-acute settings, copies of the <em>Toolkit for managing carbapenemase-producing Enterobacteriaceae in non-acute and community settings</em> and <em>Acute trust toolkit for the early detection, management and control of carbapenemase-producing Enterobacteriaceae</em> are attached. PHE is supporting actions outlined in the United Kingdom’s Tackling Antimicrobial Resistance National Action Plan that aim to prevent and control the transmission of carbapenem-resistant bacteria, which includes reducing the number of specific drug-resistant infections in people by 10% by 2025; reducing UK antimicrobial use in humans by 15% by 2024; and adding carbapenem-resistant Gram-negative infections to the list of notifiable diseases in existing laboratory reporting systems.</p> answering member printed Baroness Blackwood of North Oxford attachment 1 file name Acute_trust_toolkit_for_the_early_detection.pdf title Acute trust toolkit 2 file name CPE-Non-AcuteToolkit_CORE.pdf title CPE Non Acute toolkit question first answered 04/06/2019 13:45:10 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

1135065

	registered interest
	date	26/06/2019
	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	Bacterial Diseases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 4 June (HL15832), what assessment they have made of (1) the future costs to the NHS as a result of the spread of carbapenem-resistant Enterobacteriaceae, (2) the costs of new measures introduced in 2019 specifically to prevent the transmission of such Enterobacteriaceae, and (3) the views of infection control nurses on investment to prevent the transmission of such Enterobacteriaceae.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL16692
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>Public Health England (PHE) has predicted future spread and the health and cost impact to the National Health Service of the Enterobacteriaceae Escherichia coli and a national outbreak of a highly-resistant organism, reflecting carbapenem-resistant Enterobacteriaceae. The models used in this assessment are published in the paper <em>A Risk Assessment of Antibiotic Pan-Drug-Resistance in the UK: Bayesian Analysis of an Expert Elicitation Study</em>. A copy of the paper is attached.</p><p>Such predictions are highly uncertain. There remain unknowns regarding transmission, efficacy of interventions and the additional hospital stay for infected patients (constituting a large part of the cost to the NHS).</p><p>PHE has worked with NHS colleagues, estimating the cost of controlling a carbapenemase-producing Enterobacteriaceae (CPE) outbreak in five London hospitals to be over £1 million. Monitoring costs alongside implementation of PHE’s upcoming update of the CPE toolkit for health and social care is an important component of enabling cost-effectiveness evaluation.</p><p>Staff interviewed about the challenges of implementing the existing CPE toolkit highlighted maintaining awareness and training as key challenges, alongside infection prevention resourcing. An analysis of the responses was published in the paper <em>An evaluation of a toolkit for the early detection, management, and control of carbapenemase-producing Enterobacteriaceae: a survey of acute hospital trusts in England</em>. A copy is attached.</p> answering member printed Baroness Blackwood of North Oxford attachment 1 file name A Risk Assessment of Antibiotic Pan-Drug-Resistance in the UK.pdf title Risk Assessment of Antibiotic Pan Drug Resistance 2 file name An evaluation of a toolkit for the early detection management and control of carbapenemase-producing Enterobacteriaceae. A survey of acute hospital .pdf title An evaluation of a toolkit question first answered 09/07/2019 13:34:21 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

1141919

	registered interest
	date	24/07/2019
	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	Bacterial Diseases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 9 July (HL16592), what is their view of the proportion of each of the resulting illness, deaths and costs that could be prevented by new efforts to prevent transmission; and what are the costs of new measures introduced in 2019 to prevent transmission of carbapenem-resistant Enterobacteriaceae.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL17463
	answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>Public Health England (PHE) has prioritised collecting the necessary data across the National Health Service to enable estimation and monitoring of the proportion of cases, deaths and costs attributable to carbapenemase-resistant Enterobacteriaceae.</p><p>In May 2015 PHE implemented an enhanced surveillance system of all carbapenemase-producing Gram negative bacteria, which was modified in 2019 to maximise efficiency. The health burden of cases, estimated from these data, will be published in the <em>English Surveillance Programme for Antimicrobial Utilisation Report</em> in November 2019.</p><p>The few published reports of outbreaks have estimated costs of at least £1 million, and up to £5 million, all indicating multi-model control measures are required, as outlined in the PHE toolkit for prevention and control of carbapenemase-producing Enterobacteriaceae which is currently being updated.</p><p>Using national surveillance and patient administration data to develop mathematical models, work is ongoing to estimate the reduction in levels of illness and death when specified detection and control measures are applied by 2020. Developed models will enable associated costs incurred to be estimated and the cost-effectiveness of control measures to be established by 2021.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 06/08/2019 15:07:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

1150750

	registered interest
	date	19/10/2019
	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	Dental Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they intend to take in respone to the shortage of National Health Service dentists.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL224
	answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>The latest headcount data published by NHS Digital show that the total number of dentists actively delivering National Health Service services increased from 24,308 to 24,545 during the period 2017/18 to 2018/19.</p><p> </p><p>Both NHS England and Health Education England (HEE) have initiatives in place to tackle recruitment and retention issues. HEE’s current programme Advancing Dental Care is exploring the opportunities for flexible dental training pathways that can better serve patients as well as improving dental workforce retention. NHS England is introducing ‘flexible commissioning’, which allows local NHS commissioners to commission a wider range of services from dental practices which is expected to make NHS dentistry more attractive to newly qualified dentists.</p><p> </p><p>These initiatives sit alongside the Department’s and NHS England’s work to reform the current NHS dental contract to support dentists to deliver preventatively focussed care. The patient pathway in the new model makes greater use of the whole dental team including nurses and therapists which moves away from needing dentists to complete every course of treatment.</p><p> </p><p>The interim NHS People Plan, published in June 2019, sets out plans for the future dental workforce. This commits to creating a capable and motivated multidisciplinary dental workforce, of a sufficient size, to meet population health needs.</p> answering member printed Baroness Blackwood of North Oxford question first answered 30/10/2019 12:34:49 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3596 label Biography information for Baroness Gardner of Parkes