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1006860

registered interest
date	14/11/2018
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	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect on patient outcomes of delaying access to elective surgical procedures on the basis of (a) body weight and (b) smoking status.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	191434
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>Clinical commissioning groups are responsible for commissioning care that will provide the best possible outcomes for their patients. In doing so, they should take into account best practice and National Institute for Health and Care Excellence guidance. No such assessment has been made by the Department or NHS England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2018 11:43:09 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

989465

registered interest
date	17/10/2018
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	Analgesics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the merits of restricting the sale of paracetamol and aspirin to behind the counter to reduce the number of deaths by self-poisoning.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	180815
answer	answer is ministerial correction date of answer 25/10/2018 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) is the body responsible for regulating all medicines in the United Kingdom on behalf of health ministers. In 1998, smaller pack sizes were introduced for non-prescription medicines containing paracetamol or aspirin to manage the risk of misuse and overuse. The MHRA continues to monitor the safety in use of non-prescription medicines containing paracetamol and aspirin and will take further action to safeguard public health if necessary.</p><p> </p><p>The National Institute for Health Research, funded by the Department, commissioned research published in 2013, which analysed deaths by poisoning by paracetamol since the restrictions to its sale were introduced in 1998, ‘Long term effect of reduced pack sizes of paracetamol on poisoning deaths and liver transplant activity in England and Wales: interrupted time series analyses’. This is available at the following link:</p><p> </p><p><a href="https://www.bmj.com/content/346/bmj.f403" target="_blank">https://www.bmj.com/content/346/bmj.f403</a></p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 25/10/2018 11:46:16 answering member 4070 label Biography information for Matt Hancock
tabling member	4471 label Biography information for Rachael Maskell

964058

registered interest
date	03/09/2018
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	Respiratory System: Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential causal link between respiratory diseases and deprivation and its effect on levels of (a) chronic obstructive pulmonary disease, (b) cancer, (c) tuberculosis, (d) pneumonia, (e) pulmonary fibrosis and (f) asthma; and what steps he is taking to reduce any such inequalities relating to respiratory diseases.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	169538
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>NHS England is committed to reducing health inequalities, and respiratory disease will be a clinical priority in the National Health Service long-term plan.</p><p> </p><p>Evidence shows that disadvantaged groups and areas of deprivation experience higher incidence rates of respiratory disease (such as chronic obstructive pulmonary disease and asthma). This is in part due to higher levels of smoking, exposure to higher levels of air pollution, poor housing conditions, early life experiences and exposure to occupational hazards.</p><p> </p><p>National programmes such as the Elective Care Programme, NHS RightCare and Getting It Right First Time are focussing on respiratory disease management and have outlined the benefits that improvements in this area can bring to patients.</p><p> </p><p>Cancer of the larynx and lung are more common in the 20% most deprived patients relative to the 20% more well off patients. Smoking and increased alcohol consumption, both risk factors for these cancers, are also more common amongst more deprived populations.</p><p> </p><p>NHS England is to pilot low dose CT scanning for lung cancer, focussing on those clinical commissioning groups with the highest lung cancer mortality and incidence. These pilots, together with the implementation of rapid diagnosis pathways for lung cancer will help to close the gap in inequalities.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/09/2018 16:00:27 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

906329

registered interest
date	17/05/2018
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: Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many mental health nursing commissions his Department plans to offer in each of the next five years.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	145380
answer	answer is ministerial correction date of answer 24/05/2018 answer text <p>On 1 August 2017, the Government implemented the revised funding system for nursing, midwifery and allied health professional students, meaning that courses in these professions are no longer centrally commissioned.</p><p> </p><p>Further to the announcement of 9 May, the Government is considering the most effective way to implement the ‘golden hello’ incentive scheme for postgraduate nursing students.</p><p> </p><p>The current intention is that these payment incentives will be made available for future postgraduates who completed courses funded by loans in the 2018/19 academic year. The golden hello payments are anticipated to be contingent on these graduates working in specific fields of the health and care sector including mental health, learning disability and community, including district, nursing.</p><p> </p><p>The detail of the scheme is being developed by the Department. Officials will engage with stakeholders as part of finalising proposals; including determining whether it is in the best interests of the National Health Service to split out the numbers eligible for a payment determined by branch of nursing. The conclusions of this will inform assessments of the potential impact of such incentives.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/05/2018 15:56:26 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4471 label Biography information for Rachael Maskell

897908

registered interest
date	04/05/2018
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: Children and 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 he is taking to ensure that mental health services for children and young people are able to benefit from an annual uplift in their recurrent additional funding as originally envisaged by NHS England.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	141360
answer	answer is ministerial correction date of answer 10/05/2018 answer text <p>Information on total spend on mental health services for children and young people is published in NHS England’s five year forward view for mental health dashboard, available at the following link:</p><p> </p><p><a href="http://www.england.nhs.uk/mental-health/taskforce/imp/mh-dashboard" target="_blank">www.england.nhs.uk/mental-health/taskforce/imp/mh-dashboard</a></p><p> </p><p>This includes expenditure against additional funding which is not reported separately.</p><p> </p><p>Clinical commissioning groups’ (CCGs) recurrent baseline allocations are uplifted annually, and this includes funding for mental health services for children and young people. NHS England tracks mental health expenditure by CCGs against the Mental Health Investment Standard, which requires an increase in spend on mental health by at least the amount of overall recurrent baseline allocations. Currently 85% of CCGs are meeting the Mental Health Investment Standard and recent NHS Planning Guidance for 2018/19 requires all CCGs to meet the standard.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 141362 question first answered 10/05/2018 13:34:45 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4471 label Biography information for Rachael Maskell

897909

registered interest
date	04/05/2018
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: Children and 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, whether he will issue statutory guidance to local authorities and health service providers to ensure the quality and implementation of local transformation plans for children and young people's mental health.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	141361
answer	answer is ministerial correction date of answer 10/05/2018 answer text <p>The Government’s Mandate to NHS England for 2018-19 sets out the objectives and deliverables that NHS England is legally obliged to seek to achieve. The Mandate includes an objective for NHS England to work with system partners to deliver the Future in Mind recommendations, and support Government priorities and commitments to improving mental health for children and young people.</p><p> </p><p>Local transformation plans now form part of sustainability and transformation plans.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 10/05/2018 13:36:30 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4471 label Biography information for Rachael Maskell

897910

registered interest
date	04/05/2018
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: Children and 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 he is taking to ensure that local transformation plans for children and young people’s mental health provide transparency on total spend in each area and not just spend of additional funding allocated by NHS England.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	141362
answer	answer is ministerial correction date of answer 10/05/2018 answer text <p>Information on total spend on mental health services for children and young people is published in NHS England’s five year forward view for mental health dashboard, available at the following link:</p><p> </p><p><a href="http://www.england.nhs.uk/mental-health/taskforce/imp/mh-dashboard" target="_blank">www.england.nhs.uk/mental-health/taskforce/imp/mh-dashboard</a></p><p> </p><p>This includes expenditure against additional funding which is not reported separately.</p><p> </p><p>Clinical commissioning groups’ (CCGs) recurrent baseline allocations are uplifted annually, and this includes funding for mental health services for children and young people. NHS England tracks mental health expenditure by CCGs against the Mental Health Investment Standard, which requires an increase in spend on mental health by at least the amount of overall recurrent baseline allocations. Currently 85% of CCGs are meeting the Mental Health Investment Standard and recent NHS Planning Guidance for 2018/19 requires all CCGs to meet the standard.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 141360 question first answered 10/05/2018 13:34:45 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4471 label Biography information for Rachael Maskell

897911

registered interest
date	04/05/2018
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	Eating Disorders: Mental 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, pursuant to the Answer of 7 September 2017 to Question 8231, for what reasons his Department is unable to provide a breakdown of how the £30 million of additional money for community eating disorders services for children and young people was allocated to clinical commissioning groups when it was able to provide that information in the Answer of 2 November 2016 to Question 50911.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	141363
answer	answer is ministerial correction date of answer 10/05/2018 answer text <p>The £30 million funding for Children and Young People’s Eating Disorder services in 2016/17 was an initial allocation made in addition to clinical commissioning groups (CCGs) baseline funding. For subsequent years funding has been incorporated into core CCG baseline allocations. This is normal as a programme moves from being a new initiative into a delivery requirement for all CCGs as part of their general commissioning responsibilities and helps to enable services to be planned for as part of the regular planning cycle. Planned spend for 2017/18 by individual CCGs on Eating Disorder services has been included within the Five Year Forward View for Mental Health Dashboard. This can be viewed at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/" target="_blank">https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 10/05/2018 13:31:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4471 label Biography information for Rachael Maskell

820695

registered interest
date	11/01/2018
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	Cervical Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the take-up rate for cervical screening in (a) England, (b) North Yorkshire and (c) York was in 2017.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	122113
answer	answer is ministerial correction date of answer 16/01/2018 answer text <p>The National Health Service Cervical Screening Programme measures coverage rather than uptake rate. NHS England is responsible for monitoring the coverage rates for cervical screening in all age groups and is committed to improving coverage and reducing variation between all age groups.</p><p> </p><p>Data are provided by NHS Digital and are available at:</p><p> </p><p><a href="https://digital.nhs.uk/article/7035/Cervical-screening-programme-coverage" target="_blank">https://digital.nhs.uk/article/7035/Cervical-screening-programme-coverage</a></p><p> </p><p>General practitioner/clinical commissioning group level coverage is available at:</p><p> </p><p><a href="http://digital.nhs.uk/catalogue/PUB24229" target="_blank">http://digital.nhs.uk/catalogue/PUB24229</a></p><p> </p><p>The percentage of coverage for each area requested as at the end of 2016-17 is: England 72.0%; North Yorkshire 78.1%; York 73.0%.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/01/2018 11:48:21 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

820698

registered interest
date	11/01/2018
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	Antenatal Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which clinical commissioning groups do not provide NHS antenatal classes.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	122116
answer	answer is ministerial correction date of answer 16/01/2018 answer text <p>The information about which clinical commissioning groups provide National Health Service antenatal classes is not held centrally.</p><p> </p><p>The National Institute for Health and Care Excellence Quality Standards (QS22) for antenatal care states that services should be commissioned from, and coordinated across, all relevant agencies encompassing the antenatal care part of the maternity pathway.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 16/01/2018 12:10:30 answering member 4095 label Biography information for Steve Barclay
tabling member	4471 label Biography information for Rachael Maskell