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  • Lord Patten – 2015 Parliamentary Question to the Ministry of Justice

    Lord Patten – 2015 Parliamentary Question to the Ministry of Justice

    The below Parliamentary question was asked by Lord Patten on 2015-02-11.

    To ask Her Majesty’s Government, further to the Written Answer by Lord Faulks on 26 January (HL4088), whether every prisoner identified as at risk of suicide or self-harm is automatically under the care planning system of the Assessment, Care in Custody and Teamwork process.

    Lord Faulks

    All Prisons must have procedures in place to identify, manage and support prisoners who are at risk of suicide or self-harm harm and to reduce that risk.

    National policy requires that any prisoner identified as at risk of suicide or self-harm must be managed and supported using the Assessment, Care in Custody and Teamwork (ACCT) process. ACCT is a multi-disciplinary process, and each prisoner subject to it is managed by a team composed of a range of staff drawn from the prison and other organisations, such as healthcare and education providers.

  • Lord Kilclooney – 2015 Parliamentary Question to the Department for Transport

    Lord Kilclooney – 2015 Parliamentary Question to the Department for Transport

    The below Parliamentary question was asked by Lord Kilclooney on 2015-02-11.

    To ask Her Majesty’s Government, in the light of the proposed acquisition of Aer Lingus by International Consolidated Airlines, whether they have made representations to safeguard the slots at Heathrow airport for flights by British Airways and Aer Lingus to Belfast City; and whether they have made representations to safeguard the slots at Gatwick airport for flights to Belfast City.

    Baroness Kramer

    The Government does not currently consider that there is a risk of air services between Belfast and London being lost. The routes remain commercially viable, with nearly two million passengers carried on almost 19,000 flights between the two Belfast airports and the five main London airports in 2013.

    EU Regulations govern the allocation, transfer and exchange of slots at Heathrow, Gatwick and other slot co-ordinated airports in the UK. The purpose of the EU Slot Regulations is to support the operation of a single market for aviation by seeking to ensure airlines have fair and equal access to airports across the EU through the application of independent, non-discriminatory and transparent slot allocation procedures. The Regulations stipulate that the actual process of slot allocation is undertaken entirely independently of the Government, the UK Civil Aviation Authority or other parties. The Government has therefore made no representations to safeguard Heathrow or Gatwick slots for air services from Belfast.

    In circumstances where vital air connectivity would be lost, EU law does provide some limited scope to protect regional air services by allowing Member States to establish public service obligations (PSOs) to protect air services to airports serving a peripheral or development region, or on thin routes considered vital for a region’s economic and social development. Where a PSO has been approved, this would permit slots to be ring-fenced at a London airport. There is no other mechanism for the Government to intervene in the allocation of slots at London airports.

    As part of the 2013 Spending Round the Chief Secretary to the Treasury announced that £20million would be made available over the two years 2014-15 and 2015-16 through a Regional Air Connectivity Fund to maintain regional air access to London through the establishment of PSOs where there was the probability that an existing air service would be lost. The 2014 Budget announced a doubling of the Regional Air Connectivity Fund to maintain existing connectivity to London.

  • Lord Hunt of Kings Heath – 2015 Parliamentary Question to the Department of Health

    Lord Hunt of Kings Heath – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-02-11.

    To ask Her Majesty’s Government whether they have plans to introduce a Strategic Clinical Network for musculoskeletal disorders, as recommended by the Arthritis and Musculoskeletal Alliance.

    Earl Howe

    NHS England’s National Clinical Director for musculoskeletal (MSK) conditions, Peter Kay, is currently working in partnership with the Arthritis and Musculoskeletal Alliance (ARMA), to develop new MSK clinical networks across England.

    The work ARMA has done to date has been very successful in capturing examples of best practice in MSK care across England, bringing together health professionals and commissioners and building a strong consensus on the way forward for models of care for MSK patients across the entire MSK community. Work is ongoing in this area and NHS England and ARMA are in dialogue about the nature of such support.

    NHS England is undertaking a review of the role, purpose and function of the sub-regional infrastructure that it funds, which is focussed on supporting commissioners and providers to improve the quality of services including Strategic Clinical Networks (SCN), Clinical Senates and Academic Health Science Networks. The purpose of the review is to understand how the best value can be secured from the investment in these functions, in support of commissioners and providers in improving quality. This review is ongoing and is expected to reach its conclusions by the end of March.

    Regarding plans to introduce MSK networks as part of the SCN programme, NHS England has made clear that as priorities change, or should the work of one of the initial SCNS conclude, it will identify new conditions or patient groups that would benefit from an SCN approach.

    The provision of fracture liaison services (FLS) and falls services is a matter for local clinical commissioning groups (CCGs). NHS England advises that it is aware that provision of good FLS is not uniform across the country and it continues to work with CCGs to support them to develop appropriate local FLS services. It also advises that the FLS model recommended by the International Osteoporosis Foundation and the National Osteoporosis society is recognised as best practice and is being promoted.

    In addition to this, the guidance from the National Institute for Health and Care Excellence Falls: assessment and prevention of falls in older people sets out best practice for clinicians on the management of patients aged 65 and over who are susceptible to falls.

  • Lord Hunt of Kings Heath – 2015 Parliamentary Question to the Department of Health

    Lord Hunt of Kings Heath – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-02-11.

    To ask Her Majesty’s Government whether they have plans to undertake a comprehensive, cross-government strategy and programme for health and work, as recommended by the Arthritis and Musculoskeletal Alliance.

    Earl Howe

    The Government currently does not have plans to undertake a comprehensive cross-Government strategy and programme for health and work, as recommended by the Arthritis and Musculoskeletal Alliance.

  • Lord Hunt of Kings Heath – 2015 Parliamentary Question to the Department of Health

    Lord Hunt of Kings Heath – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-02-11.

    To ask Her Majesty’s Government what steps will be taken by NHS England and other national health bodies to encourage the local commissioning of fracture liaison services, in the light of the advice issued by NHS England that the Fracture Liaison Services model represents best practice.

    Earl Howe

    NHS England’s National Clinical Director for musculoskeletal (MSK) conditions, Peter Kay, is currently working in partnership with the Arthritis and Musculoskeletal Alliance (ARMA), to develop new MSK clinical networks across England.

    The work ARMA has done to date has been very successful in capturing examples of best practice in MSK care across England, bringing together health professionals and commissioners and building a strong consensus on the way forward for models of care for MSK patients across the entire MSK community. Work is ongoing in this area and NHS England and ARMA are in dialogue about the nature of such support.

    NHS England is undertaking a review of the role, purpose and function of the sub-regional infrastructure that it funds, which is focussed on supporting commissioners and providers to improve the quality of services including Strategic Clinical Networks (SCN), Clinical Senates and Academic Health Science Networks. The purpose of the review is to understand how the best value can be secured from the investment in these functions, in support of commissioners and providers in improving quality. This review is ongoing and is expected to reach its conclusions by the end of March.

    Regarding plans to introduce MSK networks as part of the SCN programme, NHS England has made clear that as priorities change, or should the work of one of the initial SCNS conclude, it will identify new conditions or patient groups that would benefit from an SCN approach.

    The provision of fracture liaison services (FLS) and falls services is a matter for local clinical commissioning groups (CCGs). NHS England advises that it is aware that provision of good FLS is not uniform across the country and it continues to work with CCGs to support them to develop appropriate local FLS services. It also advises that the FLS model recommended by the International Osteoporosis Foundation and the National Osteoporosis society is recognised as best practice and is being promoted.

    In addition to this, the guidance from the National Institute for Health and Care Excellence Falls: assessment and prevention of falls in older people sets out best practice for clinicians on the management of patients aged 65 and over who are susceptible to falls.

  • Lord Hunt of Kings Heath – 2015 Parliamentary Question to the Department of Health

    Lord Hunt of Kings Heath – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-02-11.

    To ask Her Majesty’s Government, in the light of the amount of musculoskeletal training in the general practitioner curriculum, whether they will they publish a workforce development strategy for healthcare professionals, including general practitioners and specialist practitioners in musculoskeletal disorders.

    Earl Howe

    The content and standard of medical training is the responsibility of the General Medical Council (GMC), which is an independent statutory body. It has the general function of promoting high standards of education and co-ordinating all stages of education to ensure that medical students and newly qualified doctors are equipped with the knowledge, skills and attitudes essential for professional practice.

    Health Education England (HEE) will work with bodies that set curricula such as the GMC and the Royal College of General Practitioners to seek to ensure general practice training meets the needs of patients.

    In addition, HEE has established an independent Primary Care Workforce Commission which is chaired by Professor Martin Roland of the University of Cambridge. The Commission will identify models of primary care that will meet the needs of the future National Health Service including greater emphasis on community, primary and integrated services. It will focus on patient and population need; emerging models of care to respond to the population need; and maximising new skill sets and education and training.

  • Lord Alton of Liverpool – 2015 Parliamentary Question to the Department of Health

    Lord Alton of Liverpool – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Lord Alton of Liverpool on 2015-02-11.

    To ask Her Majesty’s Government, further to the Written Answers by the Parliamentary Under-Secretary of State for Public Health, Jane Ellison, on 11 September 2014 (HC Deb, cols 664–5W), what is the minimum number of fresh eggs required for the nuclear DNA to be extracted and moved elsewhere in order to generate each reconstructed embryo by pronuclear transfer; what consideration the Human Fertilisation and Embryology Authority (HFEA) has given to the appeal for additional egg donors publicised via chroniclelive.co.uk on 3 February; whether the HFEA holds records for any licensed centres in which the incidence of hospitalisation due to ovarian hyperstimulation syndrome (OHSS) is equal to or greater than that described in the journal Human Fertility (volume 10, issue 3, pages 183–7); and what changes the HFEA has introduced since the publication of the McCracken Report to mitigate the risks of OHSS in accordance with recommendations 10 and 11 and in the light of paragraphs 4.40 and 4.44 therein.

    Earl Howe

    The Human Fertilisation and Embryology Authority (HFEA) has advised that it is not in a position to know the minimum number of fresh eggs required for mitochondrial donation. Subject to the approval process agreed by the HFEA, this will be a matter for clinical teams involved.

    The HFEA will be developing its expectations as regards donation for treatment or clinical use, taking into account information for patients and donors and consent requirements.

    The HFEA has also advised that it does not hold information on ovarian hyperstimulation syndrome (OHSS) that would allow it to undertake an analysis of the incidence of hospitalisation due to OHSS.

    The McCracken report was considered by the HFEA at its meeting in September 2013. As regards recommendation 10, about the HFEA’s regulatory focus, it was agreed by the Authority that this would form the basis of the HFEA’s development of its strategy for 2014-17. The HFEA strategy was agreed by the Authority in July 2014 following extensive consultation with stakeholders. The strategy does not expressly set out the actions it proposes to take as regards OHSS. The HFEA advised that it continues to discuss with key stakeholders, including professional groups, what actions, if any, can be taken jointly by those stakeholders.

    In relation to recommendation 11, the HFEA advises that an information sharing agreement with the Medicines and Healthcare products Regulatory Agency is working well in practice and that any concerns identified by the HFEA are discussed and necessary action is taken by the respective body.

  • Lord Green of Deddington – 2015 Parliamentary Question to the Cabinet Office

    Lord Green of Deddington – 2015 Parliamentary Question to the Cabinet Office

    The below Parliamentary question was asked by Lord Green of Deddington on 2015-02-11.

    To ask Her Majesty’s Government what proportion of the annual increase in the United Kingdom of births since 2002 they consider to be due to (1) rising fertility among United Kingdom-born mothers, and (2) births to migrant females.

    Lord Wallace of Saltaire

    The information requested falls within the responsibility of the UK Statistics Authority. I have asked the Authority to reply and attached a copy of the response.

  • Lord Green of Deddington – 2015 Parliamentary Question to the Cabinet Office

    Lord Green of Deddington – 2015 Parliamentary Question to the Cabinet Office

    The below Parliamentary question was asked by Lord Green of Deddington on 2015-02-11.

    To ask Her Majesty’s Government what proportion of the increase in successive censuses since 1961 in the number of households in England and Wales they consider to be due to increases in population.

    Lord Wallace of Saltaire

    The information requested falls within the responsibility of the UK Statistics Authority. I have asked the Authority to reply and attached a copy of the response.

  • Lord Green of Deddington – 2015 Parliamentary Question to the Cabinet Office

    Lord Green of Deddington – 2015 Parliamentary Question to the Cabinet Office

    The below Parliamentary question was asked by Lord Green of Deddington on 2015-02-11.

    To ask Her Majesty’s Government what proportion of the increase in successive censuses since 1961 in the number of households in England and Wales they consider to be due to net international migration.

    Lord Wallace of Saltaire

    The information requested falls within the responsibility of the UK Statistics Authority. I have asked the Authority to reply and attached a copy of the response.