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To ask His Majesty's Government what discussions they are having with (1) UK medical professionals and scientists, and (2) international partners, about (a) developing, and (b) agreeing, internationally recognised definitions of ultra-processed food.
To ask His Majesty's Government what discussions they are having with (1) UK medical professionals and scientists, and (2) international partners, about (a) developing, and (b) agreeing, internationally recognised definitions of ultra-processed food.
The Government has no plans.
To ask His Majesty's Government what plans they have to carry out research into the impact of ultra-processed foods on public health outcomes.
To ask His Majesty's Government what plans they have to carry out research into the impact of ultra-processed foods on public health outcomes.
The Government has no plans.
Lords question for short debate on what plans they have to address the intergenerational impact of proposed changes to social care funding.
Lords question for short debate on what plans they have to address the intergenerational impact of proposed changes to social care funding.
To ask Her Majesty's Government, further to their proposal to increase the current 10-year storage limits for eggs, sperm and embryos, whether they will immediately introduce a moratorium on the destruction of eggs that reach their 10-year limit before the legislation is passed.
To ask Her Majesty's Government, further to their proposal to increase the current 10-year storage limits for eggs, sperm and embryos, whether they will immediately introduce a moratorium on the destruction of eggs that reach their 10-year limit before the legislation is passed.
The detailed implementation of the policy will be announced in due course.
To ask Her Majesty's Government what assessment they have made of (1) the investigation by BBC News, published on 28 July, which found that one million masks manufactured in China and supplied to the NHS as high grade did not meet the correct level of protection, (2) how fake personal protective...
To ask Her Majesty's Government what assessment they have made of (1) the investigation by BBC News, published on 28 July, which found that one million masks manufactured in China and supplied to the NHS as high grade did not meet the correct level of protection, (2) how fake personal protective...
For all personal protective equipment (PPE), certification is checked through a technical assurance process before the products are released for distribution. Following information received from the National Health Service in February, we quarantined and recalled the affected products and reviewed the technical certification.
As part of our investigation, we commissioned the British Standards Institution to test the masks. While the findings stated the affected masks failed to meet to FFP3 requirements, they passed all the testing requirements for an FFP2 respirator. The World Health Organization recommends the use of N95 or FFP2 respirators for health workers performing aerosol-generating procedures, wearers should have been afforded protection. These masks are not recommended to be worn by patients. We have commissioned an independent root cause analysis investigation and we await the outcome.
As of 10 June, 1.9 billion items of stock were in the ‘do not supply’ category. This is equivalent to 6.2% of purchased volume with an estimated value of £2.8 billion. We are considering options to repurpose and recycle items in this category which ensures safety and value for money. Discussions with suppliers are ongoing.
To ask Her Majesty's Government, further to the Written Answer by Lord Bethell on 2 August (HL128), whether they will now collect information centrally about the personal protective equipment (PPE) procured centrally; and what is their estimate of (1) the “disproportionate cost” of collecting information about the companies involved in the supply chain, and...
To ask Her Majesty's Government, further to the Written Answer by Lord Bethell on 2 August (HL128), whether they will now collect information centrally about the personal protective equipment (PPE) procured centrally; and what is their estimate of (1) the “disproportionate cost” of collecting information about the companies involved in the supply chain, and...
While information on personal protective equipment (PPE) is published on the Government’s Contracts Finder service, there are currently no plans to collect or publish data on sub-contractors and intermediaries.
Collating the information requested would involve detailed analysis of 339 individual contracts and detailed re-validation of purchase order and invoice data. This would exceed the disproportionate cost of £850.
The total spend for PPE during the financial year 2020/21 was £14.7 billion, which included the costs of freight, logistics and warehousing. The total cost of lateral flow devices is not held in the format requested.
To ask Her Majesty's Government what assessment they have made of the timetable for the rollout of social prescribing plans as part of the NHS Long Term Plan.
To ask Her Majesty's Government what assessment they have made of the timetable for the rollout of social prescribing plans as part of the NHS Long Term Plan.
Over 1,500 social prescribing link workers are now in place and we are continuing to work towards the target of at least 900,000 people referred to social prescribing by 2023/24. NHS England and NHS Improvement are currently working on plans beyond the NHS Long Term Plan metrics to ensure social prescribing is fully embedded and sustainable in primary care.
To ask Her Majesty's Government what assessment they have made of whether the Carr-Hill funding formula for primary health care is able to address the additional pressures created by the COVID-19 pandemic and, in particular, the pressures on primary care practices in areas of low vaccine take-up; and what steps...
To ask Her Majesty's Government what assessment they have made of whether the Carr-Hill funding formula for primary health care is able to address the additional pressures created by the COVID-19 pandemic and, in particular, the pressures on primary care practices in areas of low vaccine take-up; and what steps...
The Carr-Hill funding formula adjusts the global sum payment to general practitioner (GP) contractors. The formula weights a practice’s patient list against a number of factors which reflect differences in the age and sex composition of the practice demographic, additional pressures generated by differential rates of patient turnover, morbidity, and the impact of geographical location. The Carr-Hill funding formula does not reflect changes in demand unless they are a result of a change in patient demographic or unavoidable practice costs, and so does not directly address COVID-19 related pressures or areas of low vaccine take-up.
To ensure that general practices are able to meet demand generated by the pandemic, we have made available an additional ringfenced £270 million from November 2020 until September 2021, to ensure GPs and their teams are able to continue to support all patients.
To ask Her Majesty’s Government what steps they are taking to ensure visiting arrangements in all NHS hospitals resume as soon as possible.
To ask Her Majesty’s Government what steps they are taking to ensure visiting arrangements in all NHS hospitals resume as soon as possible.
My Lords, we absolutely recognise the importance of people’s ability to visit their loved ones. Over the pandemic, NHS guidance advised all NHS hospitals to welcome visiting in a Covid-secure way. Now that we are not in a national lockdown, visiting arrangements are set out locally by NHS trusts and other NHS bodies. The health, safety and well-being of patients, staff and communities remains the priority, but careful visiting policies remain appropriate to ensure safe hospital visits.
My Lords, we absolutely recognise the importance of people’s ability to visit their loved ones. Over the pandemic, NHS guidance advised all NHS hospitals to welcome visiting in a Covid-secure way. Now that we are not in a national lockdown, visiting arrangements are set out locally by NHS trusts and other NHS bodies. The health, safety and well-being of patients, staff and communities remains the priority, but careful visiting policies remain appropriate to ensure safe hospital visits.
My Lords, we absolutely recognise the importance of people’s ability to visit their loved ones. Over the pandemic, NHS guidance advised all NHS hospitals to welcome visiting in a Covid-secure way. Now that we are not in a national lockdown, visiting arrangements are set out locally by NHS trusts and other NHS bodies. The health, safety and well-being of patients, staff and communities remains the priority, but careful visiting policies remain appropriate to ensure safe hospital visits.
To ask Her Majesty’s Government what steps they are taking to ensure visiting arrangements in all NHS hospitals resume as soon as possible.
My noble friend raises an important question. Mental well-being is affected by visiting. We know that particularly from social care, where this has been a particularly onerous problem for those in care and their loved ones. I am not aware of any statistics being assessed but I will look into it and write to him. He makes an extremely important point. We do, however, take statistics on nosocomial infection. I am afraid that is a massive issue, which we must balance at the same time.
My noble friend raises an important question. Mental well-being is affected by visiting. We know that particularly from social care, where this has been a particularly onerous problem for those in care and their loved ones. I am not aware of any statistics being assessed but I will look into it and write to him. He makes an extremely important point. We do, however, take statistics on nosocomial infection. I am afraid that is a massive issue, which we must balance at the same time.
My Lords, I thank the Minister for his Answer. Do the Government collect statistics on the number of in-patients whose mental well-being deteriorates during their stay in hospital? Also, what assessment, if any, has been made of the impact of visits on patients’ mental well-being and recovery?
My Lords, we brought in harsh guidance at the early stage of the pandemic. That was lifted quickly, for exactly the reasons the noble Lord gave, and we keep the current restrictions under review all the time. But it is up to local trusts to put the right infection control measures in place. Although we have some guidance in place, it encourages visiting, for the reasons the noble Lord points out, and we leave it to trusts to make the ultimate decisions.
My Lords, we brought in harsh guidance at the early stage of the pandemic. That was lifted quickly, for exactly the reasons the noble Lord gave, and we keep the current restrictions under review all the time. But it is up to local trusts to put the right infection control measures in place. Although we have some guidance in place, it encourages visiting, for the reasons the noble Lord points out, and we leave it to trusts to make the ultimate decisions.
My Lords, of course I understand the reason for very great care in relation to infection control in our hospitals, but it is notable that a press release by NHS England in July, at the time of the announcement of a reduction in restrictions by the Government, said that hospital visiting guidance is set to remain in place for all staff and visitors. The concern is that the health service will never change this guidance. Surely there should be some review of the general guidance, given what is happening in society as a whole and the autumn and winter plan that the Government announced yesterday.
What a touching piece of testimony from my noble friend. The feelings he had as a child are felt by a great number of people, not only those in hospital and social care but their loved ones. We are mindful of the impact of visiting on the mental health and the good feeling of those in hospital. Visiting was suspended on 4 April last year, but that suspension was lifted on 5 June. Since then, we have sought wherever possible to put careful visiting policies in place. In October last year, the number of visitors was limited to one family contact or somebody important to the patient; since then, we have made huge strides in trying to lift those restrictions wherever we can. It is left to trusts to implement exactly those restrictions that are suitable to maintain infection control in their area.
What a touching piece of testimony from my noble friend. The feelings he had as a child are felt by a great number of people, not only those in hospital and social care but their loved ones. We are mindful of the impact of visiting on the mental health and the good feeling of those in hospital. Visiting was suspended on 4 April last year, but that suspension was lifted on 5 June. Since then, we have sought wherever possible to put careful visiting policies in place. In October last year, the number of visitors was limited to one family contact or somebody important to the patient; since then, we have made huge strides in trying to lift those restrictions wherever we can. It is left to trusts to implement exactly those restrictions that are suitable to maintain infection control in their area.
My Lords, I will always remember how my spirits rose the moment my mother appeared at the entrance to the children’s ward when, as a child, I was confined to bed with yet another fracture. Given that the isolation of lockdown has highlighted the importance of human contact to good mental health, I ask my noble friend how the Government are advising hospital trusts on taking the mental health of visitors and those they are visiting into account.
We are trying to have visiting policies that are proportionate to the situation. To reassure the noble Baroness, as she probably knows,
the number of visitors at the bedside is currently limited to one close family contact and somebody important to the patient. Those are the guidelines we have in place. As I said, we leave it to trusts to run their own infection control measures. She is entirely right that the potential for nosocomial infections within hospitals, which was such a serious feature of the pandemic last year, is one that we are extremely wary of and careful about.
We are trying to have visiting policies that are proportionate to the situation. To reassure the noble Baroness, as she probably knows,
the number of visitors at the bedside is currently limited to one close family contact and somebody important to the patient. Those are the guidelines we have in place. As I said, we leave it to trusts to run their own infection control measures. She is entirely right that the potential for nosocomial infections within hospitals, which was such a serious feature of the pandemic last year, is one that we are extremely wary of and careful about.
My Lords, in his Answer to the noble Lord, Lord Farmer, the Minister said it was vital to keep hospitals safe from Covid infections. There are now over 8,400 Covid patients in hospital with around 1,000 daily admissions and rising. SAGE is concerned that, in a month, there could be 8,000 patients a day. Paragraph 36 of yesterday’s autumn and winter plan says that the UK HSA is reviewing easing specific infection prevention and control and social distancing to better manage activity. Can the Minister give assurances that this will not happen while cases in hospital continue to increase at this rate?
My Lords, the noble Lord makes an incredibly powerful point. I agree with him. The point about visitors to the dying was one of the most poignant and hurtful aspects of the pandemic. The stories I have heard personally and in the Chamber on that point have been some of the most moving I have heard in the entire year. He is right that being ill is horrible; being ill and away from the people you love is doubly horrible. We are trying our hardest. Infections in hospitals cost a lot of lives last year. We are mindful of that damage. Another area where we are very mindful is maternity units, where to prevent post-birth depression it is really important that partners are there. We have put in allowances for all partners to be at scans and at the birth, but we are working to try to balance these two competing difficulties.
My Lords, the noble Lord makes an incredibly powerful point. I agree with him. The point about visitors to the dying was one of the most poignant and hurtful aspects of the pandemic. The stories I have heard personally and in the Chamber on that point have been some of the most moving I have heard in the entire year. He is right that being ill is horrible; being ill and away from the people you love is doubly horrible. We are trying our hardest. Infections in hospitals cost a lot of lives last year. We are mindful of that damage. Another area where we are very mindful is maternity units, where to prevent post-birth depression it is really important that partners are there. We have put in allowances for all partners to be at scans and at the birth, but we are working to try to balance these two competing difficulties.
As a Christian minister who has visited the sick for over 50 years, I believe that a vital part of the healing process of any patient is not only the care given by medical professionals, but the individual’s peace of mind. That healing is greatly enhanced by the visit of a family friend or loved one. One of the tragedies of the Covid pandemic was that many had to die without the touch of a loved one’s hand or tender words of comfort and love, as they were about to pass away. Will the Minister do everything he can to change that situation?
The noble Baroness’s point is entirely right. The focus on hospitals puts huge pressure on hospital administrators to have safe, contagion-free environments. That makes visiting extremely difficult. That is why we are trying to move as much care and diagnostics as we can back into the community, where we have smaller hubs and visiting is much more accessible. Some of that can be done on vacant NHS land. There are also opportunities on the high street, which is not as occupied as it used to be, for those kinds of services. We have £3.3 billion available for discharge. If we have safe, quick discharge, that also achieves the same objective.
The noble Baroness’s point is entirely right. The focus on hospitals puts huge pressure on hospital administrators to have safe, contagion-free environments. That makes visiting extremely difficult. That is why we are trying to move as much care and diagnostics as we can back into the community, where we have smaller hubs and visiting is much more accessible. Some of that can be done on vacant NHS land. There are also opportunities on the high street, which is not as occupied as it used to be, for those kinds of services. We have £3.3 billion available for discharge. If we have safe, quick discharge, that also achieves the same objective.
My Lords, have the Government considered using vacant hospital land owned by the NHS or unused buildings near NHS hospitals for patient accommodation while rehabilitating, rather than having long stays in medical wards? Have the Government considered the benefits for patients and families? Visiting may be safer and more suitable in this type of accommodation compared with visiting medical wards.
My Lords, it is a question of balance. We certainly have to be extremely careful about people visiting those with Covid because of the obvious contagiousness of that disease. As I said, the guidance is currently to limit the size of groups to one close family member, but we are mindful of the mental health impact of that, so trusts are trying to get the right balance between contagion control and the mental health implications of people being ill and alone in hospital.
My Lords, it is a question of balance. We certainly have to be extremely careful about people visiting those with Covid because of the obvious contagiousness of that disease. As I said, the guidance is currently to limit the size of groups to one close family member, but we are mindful of the mental health impact of that, so trusts are trying to get the right balance between contagion control and the mental health implications of people being ill and alone in hospital.
My Lords, I question the wisdom of seeking to restore all visiting arrangements as soon as possible. For the time, surely visitor resource priority should go to those who are seriously ill, whether with Covid or other serious illness. Visiting should be limited, for the time being, both for the seriously ill and for limited slots of groups of limited size.
My Lords, I am pleased to say that 91% of care homes in England have been able to accommodate residents receiving visitors, compared to 40% in March. That is huge progress and answers a very large amount of concern that I have heard here in the Chamber. It is our objective not to change or review these measures. We want to try to keep care homes open to visiting in a safe way, as we do presently. If it becomes necessary, though, we will take the steps to protect life.
My Lords, I am pleased to say that 91% of care homes in England have been able to accommodate residents receiving visitors, compared to 40% in March. That is huge progress and answers a very large amount of concern that I have heard here in the Chamber. It is our objective not to change or review these measures. We want to try to keep care homes open to visiting in a safe way, as we do presently. If it becomes necessary, though, we will take the steps to protect life.
It is very nice to see the Minister in his place; I wish him good luck right now. May I say how much we welcome the measures relating to visits in care home premises from 16 August? Welcoming anyone into care homes poses risks and it is important that those risks are managed and mitigated. In the face of the winter plans that have been announced, is there any expectation that there will be a review of these guidelines for care homes under plan A or plan B?
To ask Her Majesty’s Government what assessment they have made of the report by the Commonwealth Fund Mirror, Mirror 2021: Reflecting Poorly, published on 4 August, and, in particular, the United Kingdom’s National Health Service dropping from first to fourth place in their rankings of countries’ health care systems; and what steps they intend to take as a result.
To ask Her Majesty’s Government what assessment they have made of the report by the Commonwealth Fund Mirror, Mirror 2021: Reflecting Poorly, published on 4 August, and, in particular, the United Kingdom’s National Health Service dropping from first to fourth place in their rankings of countries’ health care systems; and what steps they intend to take as a result.
My Lords, we are very grateful to the Commonwealth Fund, based in America, for its very important report and its updated rankings. I note that the criteria in the report have changed considerably over the years. On the report’s key points, I agree that there is more that we can do on patient equity. The Government have put health inequality at the centre of their agenda, and we are working hard on implementation. On care process—the other key finding of the report—we do not recognise the report’s analysis.
To ask Her Majesty’s Government what assessment they have made of the level of cancellations of influenza vaccinations and routine blood tests.
To ask Her Majesty’s Government what assessment they have made of the level of cancellations of influenza vaccinations and routine blood tests.
My Lords, I regret to report that there was a shortfall in the supply of blood tubes of around 13% in the last two weeks of August, which led to some disruption. That has been mitigated through use of government stockpiles, importing tubes and changes in practice. Supply has now returned to normal. It is not true that there is a flu vaccine shortage; the delivery from one supplier was delayed by one or two weeks, but this should have no impact on the flu vaccination programme overall. I am pleased to say that we are in regular contact with doctors, and no issues of cancelled appointments have been raised.