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>
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>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4948", "label" : {"_value" : "Biography information for Lord Markham"} } , "answeringMemberPrinted" : {"_value" : "Lord Markham"} , "dateOfAnswer" : {"_value" : "2024-04-05", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2024-04-05T13:32:33.723Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2024-03-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Physician Associates"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4719", "label" : {"_value" : "Biography information for Baroness Bennett of Manor Castle"} } , "tablingMemberPrinted" : [{"_value" : "Baroness Bennett of Manor Castle"} ], "uin" : "HL3652"} , {"_about" : "http://data.parliament.uk/resources/1699317", "AnsweringBody" : [{"_value" : "Department for Environment, Food and Rural Affairs"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1699317/answer", "answerText" : {"_value" : "
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\u202fspecific\u202frequirements for plant\u202fbiostimulants\u202fin 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>
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>
The potential impact of a chemical on plant health, including soil microbiomes is already considered, as appropriate, as part of HSE\u2019s 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>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/5006", "label" : {"_value" : "Biography information for Lord Douglas-Miller"} } , "answeringMemberPrinted" : {"_value" : "Lord Douglas-Miller"} , "dateOfAnswer" : {"_value" : "2024-04-12", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2024-04-12T10:10:43.017Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "13"} , "answeringDeptShortName" : {"_value" : "Environment, Food and Rural Affairs"} , "answeringDeptSortName" : {"_value" : "Environment, Food and Rural Affairs"} , "date" : {"_value" : "2024-03-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Fertilisers"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "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.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4719", "label" : {"_value" : "Biography information for Baroness Bennett of Manor Castle"} } , "tablingMemberPrinted" : [{"_value" : "Baroness Bennett of Manor Castle"} ], "uin" : "HL3653"} , {"_about" : "http://data.parliament.uk/resources/1699318", "AnsweringBody" : [{"_value" : "Department for Environment, Food and Rural Affairs"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1699318/answer", "answerText" : {"_value" : "
The Medicines and Healthcare products Regulatory Agency (MHRA) operates a robust programme of regulating and monitoring medicines to ensure patients have access to safe and effective medicines. While the microbiome is still an evolving field, the MHRA is working to further our understanding on the impact of pharmaceuticals on the microbiome. Experts in MHRA are leading on international efforts to improve understanding of this area, for example through the development of World Health Organisation reference reagents for the microbiome.<\/p>
<\/p>
The potential impact of a chemical on plant health, including soil microbiomes is already considered, as appropriate, as part of the Health and Safety Executive (HSE)\u2019s robust risk assessment process for pesticides and for biocides.<\/p>
<\/p>
The legislation around veterinary medicines makes it clear that when considering the authorisation of antimicrobial substances for use in animals, there should be consideration of the impacts on the human, target animal, and environmental microbiomes, including plants and soils.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/5006", "label" : {"_value" : "Biography information for Lord Douglas-Miller"} } , "answeringMemberPrinted" : {"_value" : "Lord Douglas-Miller"} , "dateOfAnswer" : {"_value" : "2024-04-09", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2024-04-09T11:12:25.547Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "13"} , "answeringDeptShortName" : {"_value" : "Environment, Food and Rural Affairs"} , "answeringDeptSortName" : {"_value" : "Environment, Food and Rural Affairs"} , "date" : {"_value" : "2024-03-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Chemicals: Regulation"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask His Majesty's Government what assessment they have made of the case for incorporating into pharmaceutical, pesticide and other chemical regulation consideration of impacts on human, animal, plant and soil microbiomes.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4719", "label" : {"_value" : "Biography information for Baroness Bennett of Manor Castle"} } , "tablingMemberPrinted" : [{"_value" : "Baroness Bennett of Manor Castle"} ], "uin" : "HL3654"} , {"_about" : "http://data.parliament.uk/resources/1699319", "AnsweringBody" : [{"_value" : "Treasury"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1699319/answer", "answerText" : {"_value" : "
The Government recognises the importance of the devolved legislature finance committees\u2019 roles in providing rigorous scrutiny to devolved administration budgets and holding devolved administration ministers to account for their policy and budgetary decisions. As the previous Chief Secretary to the Treasury set out in his letters to the Senedd Finance Committee and the Finance and Public Administration Committee last year, we are mindful of parliamentary accountabilities where UK Government is accountable to the UK Parliament for its tax and spending decisions.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4953", "label" : {"_value" : "Biography information for Lord Roborough"} } , "answeringMemberPrinted" : {"_value" : "Lord Roborough"} , "dateOfAnswer" : {"_value" : "2024-04-12", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2024-04-12T13:10:02.77Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "14"} , "answeringDeptShortName" : {"_value" : "Treasury"} , "answeringDeptSortName" : {"_value" : "Treasury"} , "date" : {"_value" : "2024-03-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Interparliamentary Finance Committee Forum"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask His Majesty's Government why no Minister attended the meeting on 21 March of the Interparliamentary Finance Committee Forum with members of the Scottish Parliament and Senedd Cymru.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4719", "label" : {"_value" : "Biography information for Baroness Bennett of Manor Castle"} } , "tablingMemberPrinted" : [{"_value" : "Baroness Bennett of Manor Castle"} ], "uin" : "HL3655"} , {"_about" : "http://data.parliament.uk/resources/1699320", "AnsweringBody" : [{"_value" : "Department for Energy Security and Net Zero"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1699320/answer", "answerText" : {"_value" : "
The Government has made no such assessment.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4336", "label" : {"_value" : "Biography information for Lord Callanan"} } , "answeringMemberPrinted" : {"_value" : "Lord Callanan"} , "dateOfAnswer" : {"_value" : "2024-04-08", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2024-04-08T09:31:41.967Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "215"} , "answeringDeptShortName" : {"_value" : "Energy Security and Net Zero"} , "answeringDeptSortName" : {"_value" : "Energy Security and Net Zero"} , "date" : {"_value" : "2024-03-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Natural Gas and Oil: Azerbaijan"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask His Majesty's Government what assessment they have made of the report by Global Witness on 8 November 2023 that BP and its project partners had transferred $35 billion-worth of oil and gas production to the government of Azerbaijan since 2020, the year that war broke out in the disputed territory of Nagorno-Karabakh, and whether they plan to take any action in response.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4719", "label" : {"_value" : "Biography information for Baroness Bennett of Manor Castle"} } , "tablingMemberPrinted" : [{"_value" : "Baroness Bennett of Manor Castle"} ], "uin" : "HL3656"} , {"_about" : "http://data.parliament.uk/resources/1699321", "AnsweringBody" : [{"_value" : "Foreign, Commonwealth and Development Office"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1699321/answer", "answerText" : {"_value" : "
Since the outbreak of conflict in April 2023, there has been a significant escalation of gender-based violence (GBV) in Sudan. The UK has pivoted our programme delivery to focus on GBV prevention, and protection and care for rape survivors. We have also integrated consideration of conflict-related sexual violence into the humanitarian system, making use of Women's Centres, mobile clinics and internally displaced persons' gathering points, for community engagement and service provision. In 2023, UK support provided for the delivery of 83,399 consultations offering sexual and reproductive health services, and delivered mental health and psychological support to over 104,225 people.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1547", "label" : {"_value" : "Biography information for Lord Benyon"} } , "answeringMemberPrinted" : {"_value" : "Lord Benyon"} , "dateOfAnswer" : {"_value" : "2024-04-15", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2024-04-15T10:58:35.587Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "208"} , "answeringDeptShortName" : {"_value" : "Foreign, Commonwealth and Development Office"} , "answeringDeptSortName" : {"_value" : "Foreign, Commonwealth and Development Office"} , "date" : {"_value" : "2024-03-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Darfur: Gender Based Violence"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask His Majesty's Government what support they are providing to assist women and girls subjected to sexual violence in Darfur in Sudan.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4719", "label" : {"_value" : "Biography information for Baroness Bennett of Manor Castle"} } , "tablingMemberPrinted" : [{"_value" : "Baroness Bennett of Manor Castle"} ], "uin" : "HL3657"} ], "itemsPerPage" : 10, "page" : 0, "startIndex" : 1, "totalResults" : 6, "type" : ["http://purl.org/linked-data/api/vocab#ListEndpoint", "http://purl.org/linked-data/api/vocab#Page"]} }