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1130872

registered interest
date	10/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Mental Health Services: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reasons NHS England decided that only NHS organisations can be the lead on contracts for specialised mental health services.
tabling member constituency	Bristol South
tabling member printed	Karin Smyth
uin	262408
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>NHS England has determined that provider collaboratives for specialised mental health, learning disability and autism services will be managed by a lead provider in their local area. The lead provider will be given delegated responsibility for managing the budget and patient pathway for specialised care for their local population.</p><p>They will be monitored and held to account via a contract with NHS England, which will retain ultimate accountability for the commissioning of these services. The lead provider will work in partnership with a collaborative of National Health Service and independent sector providers to deliver care locally to their population.</p><p>Although provider collaboratives will be led by an NHS organisation, independent providers can participate in provider collaboratives and enter into partnership agreements to support the effective and efficient delivery of NHS-funded care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 16:40:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4444 label Biography information for Karin Smyth

1130902

registered interest
date	10/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Maternity Services: Medical Records
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to ensure that 100,000 women are able to access their maternity record digitally in 2019-20; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	262383
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>So far, 73,000 women have been offered access to digital maternity care records across 15 live pilot sites. The National Health Service is on track to meet the commitment of 100,000 women by the end of 2019-20.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 16:41:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4244 label Biography information for Jonathan Ashworth

1130903

registered interest
date	10/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to develop and expand the Diabetes Prevention Programme to offer digital access; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	262384
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>As set out in the NHS Long Term Plan, an Implementation Framework will be published shortly which will set out the next steps the National Health Service will take to deliver the commitments and the national activity and support available to systems. The Implementation Framework will assist local health systems, who will build on the engagement already taking place across the country, in developing their strategic Long Term Plan implementation plan over the summer. NHS England and NHS Improvement will then publish a national implementation plan in the autumn.</p><p>The Long Term Plan committed to fund a doubling of the NHS Diabetes Prevention Programme over the next five years, including a new digital option to widen patient choice and target inequality.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:26:50 answering member 4455 label Biography information for Seema Kennedy
tabling member	4244 label Biography information for Jonathan Ashworth

1130904

registered interest
date	10/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Databases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to begin work to roll out technology standards, as set out in The Future of Healthcare, to ensure data is interoperable and accessible; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	262385
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>On 17 October 2018, NHS Digital published the National Health Service digital, data and technology standards framework setting out key expectations for the use of data, interoperability, security and design standards within the NHS at the following link:</p><p><a href="https://digital.nhs.uk/about-nhs-digital/our-work/nhs-digital-data-and-technology-standards/framework#principles" target="_blank">https://digital.nhs.uk/about-nhs-digital/our-work/nhs-digital-data-and-technology-standards/framework#principles</a></p><p>Specifically, it sets out that all NHS digital, data and technology services should support Fast Healthcare Interoperability Resources-based application programming interfaces to enable the delivery of seamless care across organisational boundaries.</p><p>The Department has also created NHSX - a new unit dedicated to improving the technology experience within the NHS. NHSX has committed to ensure that future IT systems procured or developed by the NHS will adhere to a range of standards covering the content and format of information as well as ensuring any sharing of information meets the highest standards of safety and privacy.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 16:38:59 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4244 label Biography information for Jonathan Ashworth

1130923

registered interest
date	10/06/2019
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Prisons: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Justice, pursuant to the Answer of 15 May 2019 to Question 251411 on Prisons: Contracts, through what management information requirements is information on staffing levels submitted.
tabling member constituency	Leeds East
tabling member printed	Richard Burgon
uin	262423
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Controllers at each privately-managed prison hold regular review meetings with the contractor against a range of performance indicators that will reflect staffing, recruitment, training, sickness, and attrition and any concerns are discussed at these meetings. Where action is needed, progress is monitored by the relevant Controller and escalated within HM Prison and Probation Service (HMPPS) where appropriate action can be taken in accordance with the contract. There is no requirement in the contracts to agree staffing levels with the Ministry of Justice.</p><p> </p><p>Private providers continue to play an important role in the prison estate and I can assure you that performance of all providers is closely monitored and we will not hesitate to take action where standards fall short.</p> answering member constituency South Swindon answering member printed Robert Buckland question first answered 18/06/2019 15:03:05 answering member 4106 label Biography information for Sir Robert Buckland
tabling member	4493 label Biography information for Richard Burgon

1130963

registered interest
date	10/06/2019
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Family Courts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Justice, how many private law cases were referred to the Family Courts in which (a) both, (b) one and (c) neither parent or carer were represented by a solicitor in each of the last five years.
tabling member constituency	Dwyfor Meirionnydd
tabling member printed	Liz Saville Roberts
uin	262429
answer	answer is ministerial correction date of answer 18/06/2019 answer text <table><tbody><tr><td><p>The number of unrepresented parties in private law Children Act case starts are shown in the table below: <table><tbody><tr><td colspan="7"><p><strong>Table 1:</strong> Annual number of private law cases starting in Family Courts in England and Wales from 2014 to 2018 in which both, one or neither party had legal representation</p></td></tr><tr><td rowspan="2"><p><strong>Year</strong></p></td><td rowspan="2"><p><strong>Total number of cases started</strong></p></td><td colspan="3"><p><strong>Parties with legal representation</strong></p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p>Both applicant and respondent</p></td><td><p>Either applicant or respondent</p></td><td><p>Neither applicant nor respondent</p></td></tr><tr><td><p>2014</p></td><td><p><strong> 42,114 </strong></p></td><td><p>7,424</p></td><td><p>18,630</p></td><td><p>16,060</p></td></tr><tr><td><p>2015</p></td><td><p><strong> 43,347 </strong></p></td><td><p>7,654</p></td><td><p>18,500</p></td><td><p>17,193</p></td></tr><tr><td><p>2016</p></td><td><p><strong> 48,246 </strong></p></td><td><p>8,262</p></td><td><p>20,048</p></td><td><p>19,936</p></td></tr><tr><td><p>2017</p></td><td><p><strong> 50,652 </strong></p></td><td><p>8,303</p></td><td><p>20,497</p></td><td><p>21,852</p></td></tr><tr><td><p>2018</p></td><td><p><strong> 51,672 </strong></p></td><td><p>8,561</p></td><td><p>20,346</p></td><td><p>22,765</p></td></tr><tr><td><p><strong>Notes:</strong></p></td></tr><tr><td colspan="7"><p>1) An applicant party is considered 'represented' if at least one applicant has a recorded representative. Likewise for respondents.</p></td></tr><tr><td colspan="7"><p>2) Parties in private law cases are usually the parents or people with parental responsibility for the child/children involved. Others, including grandparents and carers, can apply after gaining permission from the court.</p></td></tr><tr><td colspan="7"><p>3) Private law adoptions are not included</p></td></tr></tbody></table>Since 2015, we have invested almost £6.5million in a support strategy for unrepresented parties. This provides practical support and information as well as routes to free or more affordable legal advice. Public funding remains available for parents in public law Children Act proceedings where a local authority seeks an order to place a child in care or under its supervision, and in private law Children Act cases where there is evidence of domestic or child abuse.<table><tbody><tr><td><p> </p></td></tr></tbody></table></p></td></tr></tbody></table> answering member constituency Blackpool North and Cleveleys answering member printed Paul Maynard question first answered 18/06/2019 16:30:36 answering member 3926 label Biography information for Paul Maynard
tabling member	4521 label Biography information for Liz Saville Roberts

1130971

registered interest
date	10/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Paralysis: Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he has plans to make the bionic spine available on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	262371
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>The bionic spine technology is at a very early stage of development. Research has yet to establish whether the bionic spine will be effective and safe for patients. We will, of course, continue to monitor it, along with other promising new treatments, as it develops.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:22:24 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1130973

registered interest
date	10/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Cancer: Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to tackle the rise in the incidence of cancer in young people under 25.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	262372
answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>Cancer incidence rates over the last ten years for people under 25 years old show a minimal increase in absolute numbers. Unlike with many adult cancers, lifestyle-related risk factors (such as smoking) do not influence a young person’s risk of developing cancer so cancers are less preventable. The small increase in incidence therefore reflects changes in demographics rather than relative risk of having cancer at any given age.</p><p>As such, our focus is on research and ensuring that children and young people get the very best treatment and care if they do develop cancer. The NHS Long Term Plan has a series of commitments to improve outcomes for all cancer patients, including children and young people with cancer. For example, the National Health Service will actively support children and young people to take part in clinical trials, so that participation among children remains high, and among teenagers and young adults rises to 50% by 2025. Also, from 2019, the NHS will begin to offer all children with cancer whole genome sequencing to enable more comprehensive and precise diagnosis, and access to more personalised treatments.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 19/06/2019 14:14:53 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1130974

registered interest
date	10/06/2019
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Retirement: Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, what steps he is taking to help reduce the number of people over the age of 60 that have had to retire as a result of ill-health.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	262373
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>The Department set out its strategy to see one million more disabled people in work by 2027 in the 2017 Command Paper “Improving Lives: The Future of Work, Health and Disability”. A key element of this is action to help keep people (including older workers) with health conditions in work. We are already investing in testing new interventions to support people, including our Health-Led Trials, and the Government is working to ensure employers and key stakeholders across all sectors adopt and implement the core and enhanced mental health standards set out in <em>Thriving at Work: The Stevenson / Farmer review of mental health</em>.</p><p>To support older people falling out of labour market due to health conditions, the Government has extended the right to request flexible working for all employees with 26 weeks’ continuous service with their employer. Access to flexible working practices, such as flexi-time, compressed hours and remote working, is key to helping older workers stay in the labour market.</p><p> </p><p>We are also exploring further ways to reduce the number of people who leave work each year for health reasons and will consult on measures to encourage and support all employers to play their part. This consultation will also propose ways to improve access to occupational health.</p><p> </p><p><strong>Background</strong></p><p> </p><p>In February 2017 Government published an employer-led Strategy <em>Fuller Working Lives: a partnership approach</em>, which sets out the importance of Fuller Working Lives for employers and individuals. It also sets out action Government is taking to support older workers to remain in the labour market.</p><p> </p><p><em>Improving Lives: The Future of Work, Health and Disability</em> published in November 2017 set out an ambitious and comprehensive programme of action to support disabled people and people with long term physical and mental health conditions to get into and stay in work and progress in rewarding careers. This action spans the workplace, health and welfare settings.</p><p> </p><p>Since the launch of the publication, progress has been made in a number of areas including:</p><ul><li>Health Led Trials, the worlds largest trial of Individual Placement and Support, testing whether the internationally proven model to support people with severe mental health conditions to find sustained work can be as effective to those with different conditions.</li><li>More than doubled the number of Employment Advisors in IAPT services, ensuring that more people with mental health problems receive employment support to them get into or remain in work.</li><li>Undertaken a substantial package of activity within the health system itself, both to support healthcare professionals to have effective, appropriate, work conversations with their patients, and are exploring ways to reform the fit note.</li></ul> answering member constituency North Swindon answering member printed Justin Tomlinson question first answered 18/06/2019 16:10:19 answering member 4105 label Biography information for Justin Tomlinson
tabling member	4131 label Biography information for Jim Shannon

1130977

registered interest
date	10/06/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with representatives of NICE on increasing the capacity for undertaking highly specialised technology evaluations.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	262374
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Departmental officials regularly meet with National Institute for Health and Care Excellence (NICE) officials to discuss issues such as capacity for the development of guidance across all its guidance programmes, including as part of the annual business planning process. NICE does not operate a fixed capacity for the development of highly specialised technologies guidance and any topic that meets the topic selection criteria will be prioritised for guidance development.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:25:24 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon