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1220760

	registered interest
	date	06/07/2020
	answering body	Department for Education
	answering dept id	60
	answering dept short name	Education
	answering dept sort name	Education
	hansard heading	Boarding Schools: Coronavirus
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to give boarding schools greater autonomy to decide how to operate from September 2020.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL6464
	answer	answer is ministerial correction date of answer 20/07/2020 answer text <p>The Department has published guidance to support all schools as they prepare for the return of all pupils from the beginning of the autumn term: <a href="https://www.gov.uk/government/publications/actions-for-schools-during-the-coronavirus-outbreak/guidance-for-full-opening-schools" target="_blank">https://www.gov.uk/government/publications/actions-for-schools-during-the-coronavirus-outbreak/guidance-for-full-opening-schools</a>.</p><p>The guidance provides schools with advice about how to minimise the risk of transmission of COVID-19 in schools. It also sets out how the department expects schools to operate, and where there is flexibility. For boarding schools the guidance encourages schools to keep children in their class groups, but also allows for the mixing of pupils in different groups residentially and during the school day.</p><p>Boarding schools will still need to meet the national minimum standards to safeguard and protect the children in their care and those that are independent schools will need to comply with the independent school standards.</p> answering member printed Baroness Berridge question first answered 20/07/2020 16:57:46 answering member 4218 label Biography information for Baroness Berridge
	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

1171800

	registered interest
	date	20/01/2020
	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
	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 6 August 2019 (HL17643), how much new funding they provided in 2019 for new measures to prevent the transmission of carbapenem-resistant Enterobacteriaceae.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL562
	answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>Public Health England has not received any new funding for the prevention of transmission of the carbapenem-resistant Enterobacteriaceae.</p> answering member printed Baroness Blackwood of North Oxford question first answered 29/01/2020 16:28:53 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

788290

	registered interest
	date	13/11/2017
	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	Funeral Payments
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they intend to review the maximum payment that can currently be made under the Funeral Payment scheme.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL3082
	answer	answer is ministerial correction date of answer 20/11/2017 answer text <p>The Social Fund Funeral Expenses Payments scheme comprises of two elements. The first element covers the ‘necessary’ costs of arranging a funeral, which include costs of a burial or cremation including the purchase of a grave. It also meets the cost of any medical references or the removal of active implanted medical devices for cremations, reasonable costs if a body has to be moved for more than fifty miles and travel costs for the applicant to arrange and attend the funeral. These costs are paid in full and there is no maximum contribution.</p><p> </p><p>The second element covers all other costs, which are subject to a maximum of £700. We have no plans at this time to review this component of the scheme.</p> answering member printed Baroness Buscombe question first answered 20/11/2017 15:56:52 answering member 3349 label Biography information for Baroness Buscombe
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

79825

	registered interest
	date	30/07/2014
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Large Goods Vehicles: Safety
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they have any plans to remove the exemption for skip lorries and concrete mixing lorries from the requirement to be fitted with a safety bar, and, if so when; and what assessment they have made of the efforts made by Cemex in that area.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL1714
	answer	answer is ministerial correction date of answer 04/08/2014 answer text <p>The Department for Transport will be consulting in the autumn to change the rules for side guards to be fitted to tippers, refuse vehicles and car transporters that were registered from 1 January 2010.　 Side guards will be required to be fitted to the majority of new vehicles from 29 October 2014.</p><p> </p><p>There has been no specific assessment of the measures implemented by Cemex but the Government welcomes the initiatives taken by a number of companies to voluntarily fit additional safety equipment to protect pedestrian and vulnerable road users.</p> answering member printed Baroness Kramer question first answered 04/08/2014 10:40:49 answering member 1557 label Biography information for Baroness Kramer
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

381045

	registered interest
	date	15/06/2015
	answering body	Department for Business, Innovation and Skills
	answering dept id	26
	answering dept short name	Business, Innovation and Skills
	answering dept sort name	Business, Innovation and Skills
	hansard heading	Zero Hours Contracts
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the answer by Baroness Neville-Rolfe on 11 June (HL Deb, col 886), how they plan to ensure that people on zero hours contracts are aware that they can no longer be bound by an exclusivity clause; whether clear notification of this change will be sent to all relevant employers and employment agencies; and whether this law will override any existing contract which until 26 May included both zero-hours and exclusivity terms.
	tabling member printed	Baroness Gardner of Parkes
	type	WrittenParliamentaryQuestion
	uin	HL493
	answer	answer is ministerial correction date of answer 26/06/2015 answer text <p>Changes to employment law are publicised in the same way to ensure employers and individuals know how to access the information. This includes guidance on .GOV.UK, and via relevant organisations, including representative and advisory bodies such as Acas, who have mechanisms to ensure the information reaches the right people.</p><p> </p><p>The ban applies to all those with an existing exclusivity clause in their zero hours contract.</p><p> </p> answering member printed Baroness Neville-Rolfe question first answered 26/06/2015 12:05:14 answering member 4284 label Biography information for Baroness Neville-Rolfe
	tabling member	3596 label Biography information for Baroness Gardner of Parkes