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1122400

registered interest
date	23/04/2019
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	Domestic Abuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of NHS trusts in England that provided mandatory domestic abuse training for general practitioners in each of the last five years.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	246547
answer	answer is ministerial correction date of answer 01/05/2019 answer text <p>The number of National Health Service trusts in England that provide mandatory domestic abuse training for staff is not held centrally.</p><p>NHS staff must complete a statutory and mandatory training programme which is provided by e-Learning for Health. The programme includes modules on safeguarding adults and children. The requirement to complete this training is part of the employment contract for each employee and it is the responsibility of individual health and social care employer organisations to ensure that their workforce complete it.</p><p>In addition, the Department has also put £2 million over 2018/19 and 2019/20 behind expanding a pathfinder programme, which will create a model health response for survivors of domestic violence and abuse in general practice, mental health services and hospitals. This expands the number of clinical commissioning groups which are pathfinder sites from three to eight providing health services to approximately 18,000 survivors.</p><p>In March 2017 the Department published an online Domestic Violence and Abuse resource for health professionals to improve awareness of domestic violence and abuse. It advises health staff on how they can support adults and young people over 16 who are experiencing domestic abuse, and dependent children in their households, by showing how they can respond effectively to disclosures of abuse.</p><p>The Department has also funded the successful Identification and Referral to Improve Safety (IRIS) project. This provides staff training and a support programme to bridge the gap between the voluntary sector and primary care, to harness the strengths of each, and to provide an improved domestic violence service. IRIS has been adopted in over 800 general practices across 33 areas of the United Kingdom so far.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 246548 246549 question first answered 01/05/2019 12:56:51 answering member 1585 label Biography information for Stephen Hammond
tabling member	4491 label Biography information for Vicky Foxcroft

1122401

registered interest
date	23/04/2019
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	Domestic Abuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of NHS trusts in England that provided mandatory domestic abuse training for health visitors in each of the last five years.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	246548
answer	answer is ministerial correction date of answer 01/05/2019 answer text <p>The number of National Health Service trusts in England that provide mandatory domestic abuse training for staff is not held centrally.</p><p>NHS staff must complete a statutory and mandatory training programme which is provided by e-Learning for Health. The programme includes modules on safeguarding adults and children. The requirement to complete this training is part of the employment contract for each employee and it is the responsibility of individual health and social care employer organisations to ensure that their workforce complete it.</p><p>In addition, the Department has also put £2 million over 2018/19 and 2019/20 behind expanding a pathfinder programme, which will create a model health response for survivors of domestic violence and abuse in general practice, mental health services and hospitals. This expands the number of clinical commissioning groups which are pathfinder sites from three to eight providing health services to approximately 18,000 survivors.</p><p>In March 2017 the Department published an online Domestic Violence and Abuse resource for health professionals to improve awareness of domestic violence and abuse. It advises health staff on how they can support adults and young people over 16 who are experiencing domestic abuse, and dependent children in their households, by showing how they can respond effectively to disclosures of abuse.</p><p>The Department has also funded the successful Identification and Referral to Improve Safety (IRIS) project. This provides staff training and a support programme to bridge the gap between the voluntary sector and primary care, to harness the strengths of each, and to provide an improved domestic violence service. IRIS has been adopted in over 800 general practices across 33 areas of the United Kingdom so far.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 246547 246549 question first answered 01/05/2019 12:56:51 answering member 1585 label Biography information for Stephen Hammond
tabling member	4491 label Biography information for Vicky Foxcroft

1122402

registered interest
date	23/04/2019
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	Domestic Abuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of NHS trusts in England that provided mandatory domestic abuse training for midwives in each of the last five years.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	246549
answer	answer is ministerial correction date of answer 01/05/2019 answer text <p>The number of National Health Service trusts in England that provide mandatory domestic abuse training for staff is not held centrally.</p><p>NHS staff must complete a statutory and mandatory training programme which is provided by e-Learning for Health. The programme includes modules on safeguarding adults and children. The requirement to complete this training is part of the employment contract for each employee and it is the responsibility of individual health and social care employer organisations to ensure that their workforce complete it.</p><p>In addition, the Department has also put £2 million over 2018/19 and 2019/20 behind expanding a pathfinder programme, which will create a model health response for survivors of domestic violence and abuse in general practice, mental health services and hospitals. This expands the number of clinical commissioning groups which are pathfinder sites from three to eight providing health services to approximately 18,000 survivors.</p><p>In March 2017 the Department published an online Domestic Violence and Abuse resource for health professionals to improve awareness of domestic violence and abuse. It advises health staff on how they can support adults and young people over 16 who are experiencing domestic abuse, and dependent children in their households, by showing how they can respond effectively to disclosures of abuse.</p><p>The Department has also funded the successful Identification and Referral to Improve Safety (IRIS) project. This provides staff training and a support programme to bridge the gap between the voluntary sector and primary care, to harness the strengths of each, and to provide an improved domestic violence service. IRIS has been adopted in over 800 general practices across 33 areas of the United Kingdom so far.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 246547 246548 question first answered 01/05/2019 12:56:51 answering member 1585 label Biography information for Stephen Hammond
tabling member	4491 label Biography information for Vicky Foxcroft

1121896

registered interest
date	18/04/2019
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	Allergies: 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, what recent assessment his Department has made of the adequacy of the availability of adrenaline auto-injectors.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	245895
answer	answer is ministerial correction date of answer 30/04/2019 answer text <p>Supplies of EpiPen and other adrenaline auto-injectors are currently available in volumes that are sufficient to meet normal levels of demand. The Department continues to work very closely with all the manufacturers of adrenaline auto-injectors and can confirm that the supply situation continues to improve with further deliveries expected over the coming months. All patients who require an adrenaline auto-injector should now be able to obtain a device from their pharmacy.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 245896 question first answered 30/04/2019 13:08:53 answering member 4455 label Biography information for Seema Kennedy
tabling member	4491 label Biography information for Vicky Foxcroft

1121898

registered interest
date	18/04/2019
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	Allergies: 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, what steps his Department is taking to ensure that users are protected in the event that they are unable to have their prescriptions for adrenaline auto-injectors fulfilled by pharmacists.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	245896
answer	answer is ministerial correction date of answer 30/04/2019 answer text <p>Supplies of EpiPen and other adrenaline auto-injectors are currently available in volumes that are sufficient to meet normal levels of demand. The Department continues to work very closely with all the manufacturers of adrenaline auto-injectors and can confirm that the supply situation continues to improve with further deliveries expected over the coming months. All patients who require an adrenaline auto-injector should now be able to obtain a device from their pharmacy.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 245895 question first answered 30/04/2019 13:08:53 answering member 4455 label Biography information for Seema Kennedy
tabling member	4491 label Biography information for Vicky Foxcroft

1121984

registered interest
date	18/04/2019
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	Pregnancy: 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 5 December 2017 to Question 115732 on Baby Care Units, what progress his Department has made increasing access to specialist perinatal mental health support.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	245897
answer	answer is ministerial correction date of answer 30/04/2019 answer text <p>The Department is committed to improving perinatal mental health services. NHS England has invested in better perinatal mental health care for new and expectant mothers, with at least 9,000 additional women receiving treatment last year. This represents significant progress against the target set out in the Five Year Forward View for Mental Health for at least 30,000 additional women each year to access evidence-based specialist perinatal mental health treatment by 2020/21.</p><p>The NHS Long Term Plan includes a commitment for a further 24,000 women to be able to access specialist perinatal mental health care by 2023/24, building on the additional 30,000 women who will access these services each year by 2020/21. Specialist care will also be available from preconception to 24 months after birth, which will provide an extra year of support.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 30/04/2019 14:22:59 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4491 label Biography information for Vicky Foxcroft

1060650

registered interest
date	13/02/2019
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	Accident and Emergency Departments: Greater London
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 help achieve the 95 per cent four hour A&E waiting time target in (a) Lewisham borough and (b) London.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	220972
answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>NHS Improvement is working closely with Lewisham and Greenwich NHS Trust to achieve delivery of the 95% four hour accident and emergency (A&amp;E) standard. Several steps are in place to support the Trust, including monthly oversight meetings between NHS Improvement’s senior leadership team and the Trust’s chief executive team to review performance; provision of NHS Improvement staff for on-site support to review long-stay patients and discharge those who are medically fit to be discharged; and work with mental health providers and the London Ambulance Service to support appropriate placement of mental health patients as well as improve patient handover performance. The Trust also received £500,000 of capital to develop and open a crisis café at the University Hospital Lewisham site, to help prevent avoidable mental health attendances at A&amp;E.</p><p>There are multiple actions underway to support reductions in waiting times for patients in London Emergency Departments. The London Urgent and Emergency Care programme and the Emergency Care Intensive Support Team provide dedicated expertise and support to several trusts<ins class="ministerial"><sup>1</sup></ins>. In addition, circa £26 million of extra capital investment was allocated to trusts across London to increase beds, emergency department capacity, same day emergency care and acute mental health services ahead of winter.</p><p> </p><p><ins class="ministerial"><sup>1</sup>Lewisham and Greenwich, Kings’ College Hospital, Hillingdon, London North West, Imperial, Barking Havering and Redbridge, Barts, Whittingdon, North Middlesex and University College London Hospital.</ins></p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/02/2019 15:18:21 question first ministerially corrected 21/02/2019 16:45:31 answering member 1585 label Biography information for Stephen Hammond previous answer version 103655 answering member constituency Wimbledon answering member printed Stephen Hammond answering member 1585 label Biography information for Stephen Hammond
tabling member	4491 label Biography information for Vicky Foxcroft

1055051

registered interest
date	05/02/2019
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	Asthma: Greater London
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 (a) adults and (b) children attended (i) Lewisham Hospital A&E and (ii) Kings College Hospital A&E as a result of asthma in each year since 2010; and what steps his Department is taking to reduce the number of A&E admissions for asthma.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	217028
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>Data is not available in the format requested. A count of attendances to accident and emergency with a primary diagnosis of respiratory conditions, for those aged under 18 and over 18, at Lewisham and Greenwich NHS Trust and King’s College Hospital NHS Foundation Trust, for the years 2010-11 to 2017-18, can be found in the attached table.</p><p> </p><p>Data is not available in the format requested. A count of finished admission episodes (FAEs) with a primary diagnosis of asthma for the age groups 0-17 years and 18 years and over, in Lewisham local authority of residence, London government office region of residence and England, for the years 2010-11 to 2017-18, can be found in the attached table.</p><p> </p><p>The data in both tables should not be described as a count of people as the same person may have been admitted to hospital on one or more occasion.</p> answering member constituency Winchester answering member printed Steve Brine attachment 1 file name PQ217028 data.xlsx title PQ217028 attached table 2 file name PQ217029 - data table.xlsx title PQ217029 attached table grouped question UIN 217029 question first answered 13/02/2019 16:36:12 answering member 4067 label Biography information for Steve Brine
tabling member	4491 label Biography information for Vicky Foxcroft

1055052

registered interest
date	05/02/2019
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	Asthma
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 (a) adults and (b) children were admitted to hospital as a result of asthma in (i) Lewisham borough, (ii) London and (iii) England in each year since 2010.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	217029
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>Data is not available in the format requested. A count of attendances to accident and emergency with a primary diagnosis of respiratory conditions, for those aged under 18 and over 18, at Lewisham and Greenwich NHS Trust and King’s College Hospital NHS Foundation Trust, for the years 2010-11 to 2017-18, can be found in the attached table.</p><p> </p><p>Data is not available in the format requested. A count of finished admission episodes (FAEs) with a primary diagnosis of asthma for the age groups 0-17 years and 18 years and over, in Lewisham local authority of residence, London government office region of residence and England, for the years 2010-11 to 2017-18, can be found in the attached table.</p><p> </p><p>The data in both tables should not be described as a count of people as the same person may have been admitted to hospital on one or more occasion.</p> answering member constituency Winchester answering member printed Steve Brine attachment 1 file name PQ217028 data.xlsx title PQ217028 attached table 2 file name PQ217029 - data table.xlsx title PQ217029 attached table grouped question UIN 217028 question first answered 13/02/2019 16:36:12 answering member 4067 label Biography information for Steve Brine
tabling member	4491 label Biography information for Vicky Foxcroft

1055054

registered interest
date	05/02/2019
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	Asthma: 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, how many asthma inhalers have been issued in (a) Lewisham borough, (b) London and (c) England to (i) children and (ii) adults in each of the last 10 years.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	217030
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>The NHS Business Services Authority does not hold a complete data set for patient level data as age data is not held for all patients. As the medical condition is not available on or captured from the prescription form we are unable to identify the reason for why an inhaler is prescribed. Our organisational hierarchy does not include boroughs and so we cannot group data at this level.</p><p> </p><p>A total figure for all medication used to treat respiratory conditions has been provided. The data does not distinguish between conditions such as asthma and chronic obstructive pulmonary disease and also may contain non-inhaler medication. Regional data is only available from January 2014.</p><p> </p><p>The following table shows the number of prescription items used to treat respiratory conditions by calendar year.</p><p> </p><table><tbody><tr><td><p>Calendar Year</p></td><td><p>England Items</p></td><td><p>London Area Items</p></td><td><p>Lewisham Clinical Commission Group Items</p></td></tr><tr><td><p>2014</p></td><td><p>52,263,507</p></td><td><p>5,398,929</p></td><td><p>192,551</p></td></tr><tr><td><p>2015</p></td><td><p>53,111,230</p></td><td><p>5,409,083</p></td><td><p>192,893</p></td></tr><tr><td><p>2016</p></td><td><p>54,035,419</p></td><td><p>5,500,890</p></td><td><p>196,294</p></td></tr><tr><td><p>2017</p></td><td><p>53,991,507</p></td><td><p>5,478,939</p></td><td><p>196,831</p></td></tr><tr><td><p>2018 (not including December)</p></td><td><p>49,029,913</p></td><td><p>4,912,130</p></td><td><p>176,739</p></td></tr></tbody></table><p> </p><p> </p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/02/2019 16:37:23 answering member 4067 label Biography information for Steve Brine
tabling member	4491 label Biography information for Vicky Foxcroft