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967409

registered interest
date	04/09/2018
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	Public Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how much funding is being made available to Public Health England to support the implementation of proposals contained in their report A consensus statement: reproductive health is a public issue, published on 26 June.
tabling member printed	Baroness Barker
uin	HL9910
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Implementation of the proposals in Public Health England’s <em>A consensus statement: reproductive health is a public issue</em> will be funded from existing budgets.</p><p>Funding allocations for sexual and reproductive health are not set centrally by the Department and will be determined within the organisations concerned.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9911 question first answered 17/09/2018 13:54:05 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2501 label Biography information for Baroness Barker

967468

registered interest
date	04/09/2018
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	Postnatal Depression
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 23 July (HL9378), what steps they intend to take to address the under-diagnosis of maternal mental illness and, in particular, to ensure that those suffering from post-natal depression are diagnosed and able to access treatment.
tabling member printed	Baroness Hodgson of Abinger
uin	HL9962
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>This Government is committed to improving perinatal mental health services for women during pregnancy and in the first postnatal year, so that women are able to access the right care at the right time and close to home. The Department is investing £365 million from 2015/16 to 2020/21 in perinatal mental health services and NHS England is leading a transformation programme to ensure that, by 2020/21, at least 30,000 more women each year are able to access evidence-based specialist mental health care during the perinatal period.</p><p>A key aim of this transformation programme is to take a preventative approach wherever possible, including: earlier diagnosis and intervention; support for recovery; and reducing avoidable harm.</p><p>To drive forward change, NHS England is also investing in multidisciplinary perinatal mental health clinical networks across the country, which includes general practitioners as part of the networks. These clinical networks focus on collaborative working to develop local, integrated pathways and to support early identification of those at risk of mental illness in the perinatal period, to enable better outcomes for women in all communities.</p><p>Looking ahead, we are continuing to work with the National Health Service to develop a 10 year plan for the future of the health service, underpinned by a five-year funding offer which will see the NHS budget grow by over £20 billion a year in real terms by 2023-24. The NHS will work closely with Government to produce the plan, which will set out how the money will be used to deliver our vision for the health service and to ensure every penny is well spent.</p><p>The plan will be published later this year. Better access to mental health services is one of the priorities to help achieve the Government’s commitment for parity of esteem between mental and physical health. This will be a significant step forward towards improving, and continuing to deliver, high-quality mental health support services.</p> answering member printed Lord O'Shaughnessy question first answered 17/09/2018 13:51:53 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

967470

registered interest
date	04/09/2018
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	Health Visitors
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what training health visitors receive to enable them to identify incipient and actual cases of ante-natal depression, post-natal depression, and other maternal mental health issues.
tabling member printed	Baroness Hodgson of Abinger
uin	HL9964
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Health visitors are part of the nursing profession and regulated by the Nursing and Midwifery Council (NMC). Health visitors are qualified and registered nurses or midwives who have undertaken an approved training programme in Specialist Community Public Health Nursing - Health Visiting.</p><p>The NMC has the general function of promoting high standards of education and coordinating all stages of education to ensure that health visitors are equipped with the knowledge, skills and attitudes essential for professional practice, including continuous professional development (CPD). The NMC set the standards of education and training for the nursing profession expected at undergraduate and postgraduate level and approve curricula set by individual higher education institutes. In so doing, they set out the knowledge, skills and behaviours that both postgraduate and undergraduate nurses must be able to demonstrate.</p><p>CPD is a term used to describe a number of different training and development activities which may be required for the purposes of professional practice in the National Health Service. The NMC requires 35 hours of CPD relevant to scope of practice in the three year period since registration was last renewed, or joining the register.</p><p>The NMC are in the process of rewriting their standards. For example, in the new pre-registration nursing standards the NMC specify that registrants must have proficiencies in identifying risk and vulnerability, in all settings and across the lifespan and would expect post-natal depression to be included in the curriculum.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9965 question first answered 17/09/2018 13:50:13 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

967472

registered interest
date	04/09/2018
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	Health Visitors
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what continuous professional development health visitors are required to undertake to enable them to identify incipient and actual cases of ante-natal depression, post-natal depression, and other maternal mental health issues.
tabling member printed	Baroness Hodgson of Abinger
uin	HL9965
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>Health visitors are part of the nursing profession and regulated by the Nursing and Midwifery Council (NMC). Health visitors are qualified and registered nurses or midwives who have undertaken an approved training programme in Specialist Community Public Health Nursing - Health Visiting.</p><p>The NMC has the general function of promoting high standards of education and coordinating all stages of education to ensure that health visitors are equipped with the knowledge, skills and attitudes essential for professional practice, including continuous professional development (CPD). The NMC set the standards of education and training for the nursing profession expected at undergraduate and postgraduate level and approve curricula set by individual higher education institutes. In so doing, they set out the knowledge, skills and behaviours that both postgraduate and undergraduate nurses must be able to demonstrate.</p><p>CPD is a term used to describe a number of different training and development activities which may be required for the purposes of professional practice in the National Health Service. The NMC requires 35 hours of CPD relevant to scope of practice in the three year period since registration was last renewed, or joining the register.</p><p>The NMC are in the process of rewriting their standards. For example, in the new pre-registration nursing standards the NMC specify that registrants must have proficiencies in identifying risk and vulnerability, in all settings and across the lifespan and would expect post-natal depression to be included in the curriculum.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9964 question first answered 17/09/2018 13:50:13 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

967515

registered interest
date	04/09/2018
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	NHS: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the answer by Lord O'Shaughnessy on 7 June (HL Deb, col 1405), what assessment they have made of the credibility of the National Institute for Health and Care Excellence (NICE) process to approve drugs for use by NHS England; and what discussions they have held with NHS England on the subject of the application of NICE standards for Ibrutinib.
tabling member printed	Baroness Prosser
uin	HL10002
answer	answer is ministerial correction date of answer 17/09/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) technology appraisal methods and processes are internationally respected and have been developed through periodic review, including extensive engagement with stakeholders, to ensure that they remain fit for purpose.</p><p>Departmental officials and I have met with NHS England to discuss the treatment criteria relating to the use of ibrutinib for the treatment of chronic lymphocytic leukaemia (CLL). NHS England has advised that it develops treatment criteria for cancer and other high cost drugs to support implementation of NICE guidance and to ensure approved treatments are available as intended, with access funded consistently across the country. These criteria are developed by relevant expert clinical advisers, drawn from NHS England’s 42 Clinical Reference Groups (CRGs). These CRGs have been established to support clinical commissioning across the entire specialised commissioning portfolio.</p><p>NHS England has recently completed a review of the treatment criteria related to the use of ibrutinib for the treatment of CLL which concluded that the criteria should be amended such that ibrutinib can be made available as a treatment option for those patients who have had remission durations of three years or more with their preceding line of therapy. Ibrutinib is now available for National Health Service patients in line with the amended treatment criteria.</p> answering member printed Lord O'Shaughnessy question first answered 17/09/2018 13:52:59 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3684 label Biography information for Baroness Prosser