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NICE also recommends that insulin pump therapy can be used as a treatment option for children younger than 12 years with type 1 diabetes, provided that: Multiple daily injection (MDI) therapy is considered to be impractical or inappropriate. Children on insulin pumps would be expected to undergo a trial of MDI therapy between the ages of 12 and 18 years.

Asked by Lord Morris of Aberavon

Baroness Thornton: There are no centrally held data on the number of people in the United Kingdom that use a continuous glucose monitor either self-funded or funded by the National Health Service.

The National Institute for Health and Clinical Excellence (NICE) recommends that children and young people with type 1 diabetes who have persistent problems with glyceamic control should be offered continuous glucose monitoring systems.

We expect all clinicians to consider NICE guidance when making decisions with patients (and/or their parents or carer) about an individual's care pathway.

Health: Diabetes 1


Asked by Lord Morris of Aberavon

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The Parliamentary Under-Secretary of State, Department of Health (Baroness Thornton): There are no data held centrally about how many people in the United Kingdom use an insulin pump. However, in its suite of guidance on Continuous Subcutaneous Insulin Infusion for the Treatment of Diabetes Mellitus, the National Institute for Health and Clinical Excellence (NICE) estimates that the number of patients using insulin pumps in England could be up to 8,000.

The NHS constitution makes it clear that patients have the right to drugs and treatments that have been recommended by NICE for use in the NHS (subject to any criteria specified in NICE's guidance) if that patient's healthcare professional considers that they are clinically appropriate.

Health: Foreign Doctors


Asked by Lord Stoddart of Swindon

The Parliamentary Under-Secretary of State, Department of Health (Baroness Thornton): Under Directive 2005/36/EC language knowledge is not a ground for refusing recognition of the qualifications of a national of another member state.

The United Kingdom has therefore transposed the provisions in the directive that migrants shall "have a knowledge of languages necessary for practising the profession in the host member state", not at the point of registration, but at the point where a doctor seeks to provide services in a community; through the Performers List Regulations 2004 and through obligations on employers.

Health Service Circular 1999/137 makes it clear to all National Health Service employers that they are responsible for ensuring that the staff they employ have the necessary language and communication skills needed to do their job safely and effectively.



Asked by Baroness Miller of Chilthorne Domer

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The Parliamentary Under-Secretary of State, Department for Children, Schools and Families (Baroness Morgan of Drefelin): Providing emergency accommodation for all young people who need it, including young runaways, is the responsibility of local authorities. Since the publication of the Young Runaways Action Plan, we have reviewed the commissioning, delivery and perceptions of emergency accommodation. Commissioning Delivery and Perceptions of Emergency Accommodation for Young Runaways was published in November 2009 and made recommendations about what more can be done to support emergency accommodation. A copy of that review is available in the House library or to download here: Function=productdetails&PageMode= publications&Productld=DCSF-RR181&

Where relevant we will incorporate the response to those recommendations into a revised version of our statutory guidance to local authorities.

House of Lords: Life Peerages


Asked by Lord Stoddart of Swindon

The Chancellor of the Duchy of Lancaster (Baroness Royall of Blaisdon): The position on the creation of new peerages remains as currently provided for until such time as Parliament decides differently.

House of Lords: Procedure Committee


Asked by Lord Denham

The Chairman of Committees (Lord Brabazon of Tara): In general, only the members and staff of a committee see the papers in advance of a meeting. However, I shall put the noble Lord's suggestion to the Procedure Committee at its next meeting

House of Lords: Publications


Asked by Lord Palmer

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The Chairman of Committees (Lord Brabazon of Tara): The production, printing and distribution costs of this year's business plan were £3,238.82.

Houses of Parliament: PICT


Asked by Earl Attlee

The Chairman of Committees (Lord Brabazon of Tara): PICT was assessed by a "health check" conducted in June 2008 by an independent ICT consultant commissioned by the bicameral joint Business Systems Board. The health check found that PICT had developed into a professional ICT organisation delivering effective ICT services at a reasonable cost. It went on to recommend improvements that could be made in the way in which ICT projects and programmes were organised and financed. A review of the actions taken in response to the health check was undertaken in June 2009 and the consultants found that good progress had been made. Both reports were presented to the Management Board and the Information Committee in the House of Lords.

Human Rights


Asked by Baroness Northover

The Minister of State, Foreign and Commonwealth Office (Baroness Kinnock of Holyhead): Both the Foreign and Commonwealth Office (FCO) and the Department for International Development (DfID) integrate human rights work across their objectives. This means that funding for human rights can be given through numerous programmes.

The FCO holds the Strategic Programme Fund for Human Rights and Democracy dedicated specifically to supporting human rights projects. In 2010-11, this fund has allocated £5.6 million to human rights and democracy projects around the world. These include support to civil society and freedom of expression; and abolition of torture and the death penalty.

FCO's 2010-11 programmes that can fund human rights projects where these help to realise their core objectives include:

Strategic Programme Fund for Reuniting Europe-£3.8 million;Strategic Programme Fund for Counter Terrorism and Radicalisation-expected £38 million;bilateral programme budgets-£11.233 million;

DfID's 2010-11 programmes that can fund human rights projects include:

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bilateral programmes to support governments and civil society (this includes support to democratic elections, defending human rights and strengthening the management of public finances);UKaid which supports the role of civil society. It is also channelled through multilateral organisations such as the UN and the EU to support work on human rights amongst other issues;support to the UN Office of the High Commissioner for Human Rights;partnership programme arrangements with organisations that work on human rights issues;the Governance and Transparency Fund; andthe Disability Rights Fund.

In addition, there is the tri-departmental Conflict Pool that funds conflict prevention and stabilisation work that can fund human rights projects/objectives. The 2010-11 budget is £178.5 million which is for discretionary conflict prevention and stabilisation work. My right honourable friend the Foreign Secretary announced this in his Written Ministerial Statement of 25 March.

Immigration: Detainees


Asked by Lord Hylton

The Parliamentary Under-Secretary of State, Home Office (Lord West of Spithead): Baroness O'Loan was appointed by the Home Secretary to review allegations of systematic abuse of immigration detainees by escorting staff that were published in a dossier entitled Outsourcing Abuse. Her review centred on investigations into the complaints detailed in the dossier and the UK Border Agency's complaints and investigation systems.

Baroness O'Loan's findings were published on 12 March 2010. She found that there was no evidence to substantiate the central allegation of systematic abuse by escorting staff. At the same time, she recognised that many of the concerns she had about the way a number of the investigations into complaints had been handled in the past had been addressed already by the agency following a decision to transfer responsibility to its Professional Standards Unit in February 2008. She none the less made a number of recommendations to strengthen the supervision of staff and improve our complaints handling further.

In the report's foreword, the chief executive of the UK Border Agency welcomed Baroness O'Loan's report. Her response can be found on the UK Border Agency's website.

Immigration: Heathrow Airport


Asked by Lord Hylton

The Parliamentary Under-Secretary of State, Home Office (Lord West of Spithead): Both I and the chief executive of the UK Border Agency have welcomed the annual report of the Independent Monitoring Board (IMB) for the non-residential short-term holding facilities at Heathrow Airport.

We have noted the fact that the board has recognised significant improvement in the way in which immigration detainees are treated at the airport over the past 12 months. At the same time, we have noted the concerns about length of detention and the detention of families.

The chair of the board has been advised that detention services will provide a full reply in May.

Infrastructure Planning: Funding


Asked by Lord Taylor of Holbeach

The Parliamentary Under-Secretary of State, Department for Communities and Local Government & Department for Work and Pensions (Lord McKenzie of Luton): The Government have not made any estimate of the volume of applications for nationally significant infrastructure projects likely to be made by the 50 smallest local authorities; we do not however generally anticipate that local authorities will submit such applications. Funding of such projects is a matter for the scheme promoter.



Asked by Lord Dykes

The Minister of State, Foreign and Commonwealth Office (Baroness Kinnock of Holyhead): Foreign and Commonwealth Office officials were neither consulted about nor authorised payment of a ransom to secure the release of Sahil Saeed in Pakistan. The UK Government's policy of not making or facilitating substantive concessions to hostage-takers, including the payment of ransoms, is long standing and clear. We believe that making such concessions rewards hostage-taking and encourages future kidnaps. We will continue to offer consular assistance to the families of those taken by kidnappers.

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Kurdistan: British Citizens


Asked by Lord Laird

The Minister of State, Foreign and Commonwealth Office (Baroness Kinnock of Holyhead): Our consulate in Erbil is aware of allegations of malpractices made by certain staff members at the University of Kurdistan Hawler. The consulate has advised that complaints be referred to the university's internal grievance system. The consulate has also passed on names of lawyers based in Erbil who can advise on any additional legal measures that can be considered.

Money Laundering and Terrorism


Asked by Lord Marlesford

The Financial Services Secretary to the Treasury (Lord Myners): Suspicious activity reports (SAR) statistics are maintained by the Serious Organised Crime Agency (SOCA). These are not broken down into SARs submitted by businesses under a particular supervisor. According to the SOCA annual report between October 2008 and September 2009 there were 228,834 SARs of which 6,390 were from accountants and 96 from tax advisors.

Asked by Lord Marlesford

Lord Myners: HM Revenue and Customs (HMRC) have adopted the anti-money-laundering guidance for the accountancy sector issued by the Consultative Committee of Accountancy Bodies. This is the guidance that bookkeepers, tax advisers and accountants required to register with HMRC are directed to use.

This guidance has been drafted by the accountancy industry. HMRC was consulted on the drafting of the guidance and has had input into its contents. The guidance is approved by HM Treasury.

In addition, HMRC has also published on its website simplified guidance for all the businesses they supervise.

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