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  • Lord Shinkwin – 2016 Parliamentary Question to the Department of Health

    Lord Shinkwin – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Lord Shinkwin on 2016-03-21.

    To ask Her Majesty’s Government what assessment they have made of the impact that the UK National Screening Council’s review of cell-free DNA testing has had, and will have, on the community of people with Down’s syndrome; and in particular, the impact of cost per trisomy detected” being listed as an important factor to consider in their economic analysis.”

    Lord Prior of Brampton

    There is a long established NHS Fetal Anomaly Screening Programme (NHS FASP) that prospective parents can choose whether to participate in. The UK National Screening Committee (UK NSC) recommendation on non-invasive prenatal testing (NIPT) does not change the choices available to prospective parents within the programme therefore no assessment has been made.

    The UK NSC announced its recommendation that NIPT should be introduced as an additional test into NHS FASP as part of an evaluation. The recommendation was not based on cost per trisomy but on the basis that NIPT is much more accurate than the current testing used in screening and can substantially reduce the number of pregnant women going on to have an invasive test, which itself carries a risk of miscarriage. The economic model reviewed by the UK NSC suggested that NIPT initially offered to women with a chance of greater than 1 in 150 of carrying a fetus with a trisomy would result in 9,912 NIPT tests being carried out, and 350 retests would be required. As a result of the NIPT testing, the number of invasive tests would fall from 7,910 to 1,434. The majority of invasive tests avoided are in trisomy free pregnancies, so that the number of test related miscarriage of healthy pregnancies would subsequently fall from 46 to three per year.


  • Baroness Masham of Ilton – 2016 Parliamentary Question to the Department of Health

    Baroness Masham of Ilton – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Baroness Masham of Ilton on 2016-03-21.

    To ask Her Majesty’s Government what assessment they have made of the opportunities presented by NHS England’s Five Year Forward View to improve HIV services.

    Lord Prior of Brampton

    The National Health Service continues to offer world class Human Immunodeficiency Virus (HIV) treatment services.

    In its role as the commissioner of specialised HIV care and treatment, NHS England has a service specification which emphasises the responsibility of commissioned providers to collaborate with other health, social care and third sector organisations as appropriate to help ensure the holistic needs of patients are met. This includes ensuring people living with HIV and other comorbidities have access and referral to appropriate services.

    The effectiveness of HIV treatment means that more people will live well with HIV in old age. As people living with HIV get older, they will require access to services for the other conditions they may experience. Good communication with their HIV provider is important and this is required in the service specification.

    In line with the Five Year Forward View, NHS England will continue to work closely with HIV organisations in order to inform its commissioning responsibilities with regard to specialised HIV care and treatment as well as ensuring primary and secondary health care services respond to the wider health needs of people living with HIV.

    The Government’s Improvement Framework for Sexual Health includes the ambition that “older people with diagnosed HIV can access the additional health and social care services they need”. A copy is attached.

  • Baroness Masham of Ilton – 2016 Parliamentary Question to the Department of Health

    Baroness Masham of Ilton – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Baroness Masham of Ilton on 2016-03-21.

    To ask Her Majesty’s Government, in the light of the ageing HIV population, what plans are being put in place to support the preservation of long-term health in people with HIV.

    Lord Prior of Brampton

    The National Health Service continues to offer world class Human Immunodeficiency Virus (HIV) treatment services.

    In its role as the commissioner of specialised HIV care and treatment, NHS England has a service specification which emphasises the responsibility of commissioned providers to collaborate with other health, social care and third sector organisations as appropriate to help ensure the holistic needs of patients are met. This includes ensuring people living with HIV and other comorbidities have access and referral to appropriate services.

    The effectiveness of HIV treatment means that more people will live well with HIV in old age. As people living with HIV get older, they will require access to services for the other conditions they may experience. Good communication with their HIV provider is important and this is required in the service specification.

    In line with the Five Year Forward View, NHS England will continue to work closely with HIV organisations in order to inform its commissioning responsibilities with regard to specialised HIV care and treatment as well as ensuring primary and secondary health care services respond to the wider health needs of people living with HIV.

    The Government’s Improvement Framework for Sexual Health includes the ambition that “older people with diagnosed HIV can access the additional health and social care services they need”. A copy is attached.

  • Baroness Masham of Ilton – 2016 Parliamentary Question to the Department of Health

    Baroness Masham of Ilton – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Baroness Masham of Ilton on 2016-03-21.

    To ask Her Majesty’s Government what plans they have to increase awareness of co-morbidities associated with living with HIV in the long term.

    Lord Prior of Brampton

    The National Health Service continues to offer world class Human Immunodeficiency Virus (HIV) treatment services.

    In its role as the commissioner of specialised HIV care and treatment, NHS England has a service specification which emphasises the responsibility of commissioned providers to collaborate with other health, social care and third sector organisations as appropriate to help ensure the holistic needs of patients are met. This includes ensuring people living with HIV and other comorbidities have access and referral to appropriate services.

    The effectiveness of HIV treatment means that more people will live well with HIV in old age. As people living with HIV get older, they will require access to services for the other conditions they may experience. Good communication with their HIV provider is important and this is required in the service specification.

    In line with the Five Year Forward View, NHS England will continue to work closely with HIV organisations in order to inform its commissioning responsibilities with regard to specialised HIV care and treatment as well as ensuring primary and secondary health care services respond to the wider health needs of people living with HIV.

    The Government’s Improvement Framework for Sexual Health includes the ambition that “older people with diagnosed HIV can access the additional health and social care services they need”. A copy is attached.

  • Baroness Masham of Ilton – 2016 Parliamentary Question to the Department of Health

    Baroness Masham of Ilton – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Baroness Masham of Ilton on 2016-03-21.

    To ask Her Majesty’s Government what assessment they have made of the ability of people living with HIV to experience continuity of HIV care across the numerous health services and providers that they access.

    Lord Prior of Brampton

    The National Health Service continues to offer world class Human Immunodeficiency Virus (HIV) treatment services.

    In its role as the commissioner of specialised HIV care and treatment, NHS England has a service specification which emphasises the responsibility of commissioned providers to collaborate with other health, social care and third sector organisations as appropriate to help ensure the holistic needs of patients are met. This includes ensuring people living with HIV and other comorbidities have access and referral to appropriate services.

    The effectiveness of HIV treatment means that more people will live well with HIV in old age. As people living with HIV get older, they will require access to services for the other conditions they may experience. Good communication with their HIV provider is important and this is required in the service specification.

    In line with the Five Year Forward View, NHS England will continue to work closely with HIV organisations in order to inform its commissioning responsibilities with regard to specialised HIV care and treatment as well as ensuring primary and secondary health care services respond to the wider health needs of people living with HIV.

    The Government’s Improvement Framework for Sexual Health includes the ambition that “older people with diagnosed HIV can access the additional health and social care services they need”. A copy is attached.

  • Lord Hunt of Chesterton – 2016 Parliamentary Question to the Department for Education

    Lord Hunt of Chesterton – 2016 Parliamentary Question to the Department for Education

    The below Parliamentary question was asked by Lord Hunt of Chesterton on 2016-03-21.

    To ask Her Majesty’s Government what their policy is for the provision of textbooks and exercise books in primary and secondary schools in England; and what assessment they have made of differences in provision between the UK and other European countries.

    Lord Nash

    Good teaching and high academic standards are strongly associated with adequate provision and widespread use of high-quality textbooks.

    Cambridge Assessment’s report, ‘Why textbooks count’, analysed the use of high-quality textbooks around the world. The report found that use of textbooks is common in high performing education jurisdictions. In Finland, 95% of maths teachers use a textbook as a basis for instruction. In Singapore, 70% of maths teachers use a textbook. In England, only 10% of maths teachers use a textbook for their core teaching.

    A well-designed textbook provides a coherent, structured programme which supports a teacher’s own expertise and knowledge as well as a pupil’s.

    On 26 March 2016, the Department for Education published a report from a review group looking at teacher workload in relation to planning and resources. The group concluded there is a case for schools to place greater emphasis on quality- assured resources, including textbooks, to reduce the time teachers spend on searching for resources.

    Good textbooks also have workbooks which support homework in a positive way by providing well-structured practice exercises linked to clear explanations, which parents can understand and use to help their children.

    We have been working with textbook publishers with the aim of improving the quality of textbooks available to schools, to better support excellent teaching and teacher professional development. Last year, the publishers produced a set of common guidelines for the production of textbooks.

  • Lord Hunt of Chesterton – 2016 Parliamentary Question to the Department for Business, Innovation and Skills

    Lord Hunt of Chesterton – 2016 Parliamentary Question to the Department for Business, Innovation and Skills

    The below Parliamentary question was asked by Lord Hunt of Chesterton on 2016-03-21.

    To ask Her Majesty’s Government what has been the average time in post of Trade Ministers of Her Majesty’s Government in (1) the last five years, and (2) the five years before that.

    Baroness Anelay of St Johns

    The average tenure of Ministers for Trade & Investment from 2011 until the departure of my noble Friend Lord Maude in March 2016 is 628 days or approximately 1 year, 8 months.

    The average tenure of Ministers for Trade & Investment between 2006 and 2011 was 342 days or approximately 11 months.

  • Lord Hunt of Chesterton – 2016 Parliamentary Question to the Cabinet Office

    Lord Hunt of Chesterton – 2016 Parliamentary Question to the Cabinet Office

    The below Parliamentary question was asked by Lord Hunt of Chesterton on 2016-03-21.

    To ask Her Majesty’s Government what their current plans are to improve and extend the training of entering civil servants following changes to in-house training over the past 10 years; what plans they have to use universities to help provide training for civil servants; and whether they will encourage specialised agencies and departments to provide their own training or to outsource it where appropriate.

    Lord Bridges of Headley

    There is a comprehensive induction programme for all new civil servants which was introduced in 2015, as well as department and role specific development provided by each department. Senior external recruits also have opportunities to hear from senior officials, network with their peers and get access to a mentor or buddy as part of their induction. As with every learning and development programme, the content and approach to induction is continually reviewed to ensure that it meets current and future needs.

    Civil Service Learning (CSL) provides a core suite of learning for all civil servants, for example on leadership and management. The learning and development providers working with CSL are based around consortia containing universities and their business schools. MIT and Cranfield University are helping to develop the curriculum for the Senior Civil Service, and the Open University is a key partner in delivering learning for all other grades. They have also worked with the London School of Economics on a Policy Masters.

    Whilst CSL provides learning that meets the needs of all civil servants, specialised agencies and departments do provide their own training. Examples include the Diplomatic Academy run by the Foreign and Commonwealth Office, and HMRC’s Tax Academy. Professions also provide their own training – for example through the Commercial College and the Government Finance Academy. This provision represents a mix of internal delivery and outsourcing. CSL provides support and guidance on good practice to departments and professions.

  • Lord Hunt of Chesterton – 2016 Parliamentary Question to the Department for Education

    Lord Hunt of Chesterton – 2016 Parliamentary Question to the Department for Education

    The below Parliamentary question was asked by Lord Hunt of Chesterton on 2016-03-21.

    To ask Her Majesty’s Government what assessment they have made of the trend in the level of continuing professional development undertaken by teachers of STEM subjects in primary schools; what estimate they have made about the effect it will have on the standards attained by pupils; and whether they will provide funds to increase continuing professional development in the future.

    Lord Nash

    It is for schools to determine the professional development their teachers need. The Government funds a number of programmes which make high quality, professional development available to primary teachers. This supports our commitment to making Britain the best place in the world to study science, technology, engineering and mathematics (STEM) subjects.

    The network of 35 Maths Hubs is working with many primary teachers to adopt effective south-east Asian ‘mastery’ teaching approaches to make sure that more children leave primary schools having met the expected standards in mathematics. The network of 44 Science Learning Partnerships provides support to primary teachers to improve their science subject knowledge and how they teach science including good quality practical work. Support to improve the teaching of the new primary computing curriculum is available through the Network of Teaching Excellence in Computer Science. All of these programmes are subject to ongoing evaluation to assess their impact.

    The Government remains committed to making sure primary school teachers continue to have access to high quality STEM professional development in the future.

  • Lord Harrison – 2016 Parliamentary Question to the HM Treasury

    Lord Harrison – 2016 Parliamentary Question to the HM Treasury

    The below Parliamentary question was asked by Lord Harrison on 2016-03-21.

    To ask Her Majesty’s Government whether they intend to meet with the representative bodies of employee share ownership schemes to discuss the recent decision to withdraw HM Revenue and Custom’s valuation check service.

    Lord O’Neill of Gatley

    Officials from HM Revenue and Customs have already met representative bodies of employee ownership schemes. HMRC will be working with those groups to develop further public guidance and discuss any other proposals their members might raise.