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1010304

registered interest
date	19/11/2018
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	Postnatal Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether NHS England has put forward the inclusion of a maternal six-week postnatal check in negotiations on the General Medical Services contract; and what recent progress has been made in those negotiations.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	192896
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>The inclusion of a requirement to carry out a six-week postnatal check for all mothers in the general medical services contract would need to be negotiated and agreed, as part of the annual contract negotiations. We have asked for this issue to be considered in the contract negotiations for 2019/20. The details of those negotiations are not generally discussed until an agreement on the way forward has been reached.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 192897 question first answered 22/11/2018 11:40:36 answering member 4067 label Biography information for Steve Brine
tabling member	4658 label Biography information for Alex Sobel

1010305

registered interest
date	19/11/2018
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	Postnatal Care
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 a maternal six-week postnatal check is included in the General Medical Services contract; and what funding he plans to allocate for the provision of those checks.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	192897
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>The inclusion of a requirement to carry out a six-week postnatal check for all mothers in the general medical services contract would need to be negotiated and agreed, as part of the annual contract negotiations. We have asked for this issue to be considered in the contract negotiations for 2019/20. The details of those negotiations are not generally discussed until an agreement on the way forward has been reached.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 192896 question first answered 22/11/2018 11:40:36 answering member 4067 label Biography information for Steve Brine
tabling member	4658 label Biography information for Alex Sobel

1010306

registered interest
date	19/11/2018
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	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 estimate he has made of the shortage of EpiPen 0.3mg Auto-Injectors in (a) Yorkshire and the Humber and (b) England; and what steps he is taking to address that shortage.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	192898
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>The Department is working very closely with all the manufacturers of adrenaline auto-injectors, the Medicines and Health products Regulatory Agency, and NHS England and the supply situation is improving. Supplies of EpiPen 0.3mg and the alternative adrenaline auto-injectors are currently available across the country in volumes that are sufficient to meet normal United Kingdom requirements and further deliveries of all three brands of adrenaline auto-injectors are expected in the coming weeks. Comprehensive information and guidance, with input from National Health Service allergy experts has been cascaded to all healthcare professionals, schools, patient groups and frontline NHS services, which provides information about the supply issue, clinical management options and advice to share with patients. We have put this process in place to ensure that those patients with the greatest clinical need have been prioritised to receive new supplies of adrenaline auto-injectors.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 192899 question first answered 22/11/2018 15:07:15 answering member 4067 label Biography information for Steve Brine
tabling member	4658 label Biography information for Alex Sobel

1010307

registered interest
date	19/11/2018
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	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 assessment he has made of the effect on the health of children under 16 of the national shortage of EpiPen 0.3mg Auto-Injectors; and what plans he has in place to reduce that shortage.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	192899
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>The Department is working very closely with all the manufacturers of adrenaline auto-injectors, the Medicines and Health products Regulatory Agency, and NHS England and the supply situation is improving. Supplies of EpiPen 0.3mg and the alternative adrenaline auto-injectors are currently available across the country in volumes that are sufficient to meet normal United Kingdom requirements and further deliveries of all three brands of adrenaline auto-injectors are expected in the coming weeks. Comprehensive information and guidance, with input from National Health Service allergy experts has been cascaded to all healthcare professionals, schools, patient groups and frontline NHS services, which provides information about the supply issue, clinical management options and advice to share with patients. We have put this process in place to ensure that those patients with the greatest clinical need have been prioritised to receive new supplies of adrenaline auto-injectors.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 192898 question first answered 22/11/2018 15:07:15 answering member 4067 label Biography information for Steve Brine
tabling member	4658 label Biography information for Alex Sobel

1010308

registered interest
date	19/11/2018
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	Maternity Services: Asylum
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether pregnant asylum seekers with no leave to remain are charged different amounts for maternity services in different parts of the UK.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	192900
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>Asylum seekers and those failed asylum seekers supported by the Home Office under section 4(2) of the Immigration and Asylum Act 1999 or a local authority under section 21 or Part 1 (care and support) of the Care Act 2014 (Regulation 15(d) are exempt from charge under the Charging Regulations. Charges for overseas visitors and migrants are set in accordance with national tariff and rules as laid out in the published guidance: ‘Guidance on implementing the overseas visitor charging regulations’.</p><p> </p><p>The Department does not hold data on the number of pregnant asylum seekers or failed asylum seekers who have been charged for maternity care for the years requested.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 192901 192902 192903 question first answered 22/11/2018 15:25:23 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel

1010309

registered interest
date	19/11/2018
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	Maternity Services: Asylum
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 pregnant failed asylum seekers have been charged for maternity care between January and November 2018; and what the average amount of that charge was.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	192901
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>Asylum seekers and those failed asylum seekers supported by the Home Office under section 4(2) of the Immigration and Asylum Act 1999 or a local authority under section 21 or Part 1 (care and support) of the Care Act 2014 (Regulation 15(d) are exempt from charge under the Charging Regulations. Charges for overseas visitors and migrants are set in accordance with national tariff and rules as laid out in the published guidance: ‘Guidance on implementing the overseas visitor charging regulations’.</p><p> </p><p>The Department does not hold data on the number of pregnant asylum seekers or failed asylum seekers who have been charged for maternity care for the years requested.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 192900 192902 192903 question first answered 22/11/2018 15:25:23 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel

1010310

registered interest
date	19/11/2018
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	Maternity Services: Asylum
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 cost to the public purse of invoicing pregnant asylum seekers with no leave to remain for maternity care in 2017-2018 was.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	192902
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>Asylum seekers and those failed asylum seekers supported by the Home Office under section 4(2) of the Immigration and Asylum Act 1999 or a local authority under section 21 or Part 1 (care and support) of the Care Act 2014 (Regulation 15(d) are exempt from charge under the Charging Regulations. Charges for overseas visitors and migrants are set in accordance with national tariff and rules as laid out in the published guidance: ‘Guidance on implementing the overseas visitor charging regulations’.</p><p> </p><p>The Department does not hold data on the number of pregnant asylum seekers or failed asylum seekers who have been charged for maternity care for the years requested.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 192900 192901 192903 question first answered 22/11/2018 15:25:23 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel

1010311

registered interest
date	19/11/2018
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	Maternity Services: Asylum
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 proportion was of pregnant asylum seekers who paid in full their invoices for maternity care in (a) 2016 and (b) 2017.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	192903
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>Asylum seekers and those failed asylum seekers supported by the Home Office under section 4(2) of the Immigration and Asylum Act 1999 or a local authority under section 21 or Part 1 (care and support) of the Care Act 2014 (Regulation 15(d) are exempt from charge under the Charging Regulations. Charges for overseas visitors and migrants are set in accordance with national tariff and rules as laid out in the published guidance: ‘Guidance on implementing the overseas visitor charging regulations’.</p><p> </p><p>The Department does not hold data on the number of pregnant asylum seekers or failed asylum seekers who have been charged for maternity care for the years requested.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 192900 192901 192902 question first answered 22/11/2018 15:25:23 answering member 1585 label Biography information for Stephen Hammond
tabling member	4658 label Biography information for Alex Sobel

1003707

registered interest
date	09/11/2018
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	Ovarian Cancer: Health Education
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans his Department has to raise awareness of the symptoms of ovarian cancer to improve early detection.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	189804
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>Public Health England (PHE) has run a number of ‘Be Clear on Cancer’ (BCOC) campaigns to help improve early detection of cancer. In 2014 PHE ran a regional ovarian cancer campaign in the North West of England, and in 2017 a pilot which focussed on a range of abdominal symptoms, such as diarrhoea, bloating and discomfort that can be indicative of a number of cancers, including ovarian cancer was carried out in the East and West Midlands. PHE is currently undertaking new data analysis and research to determine the future direction of BCOC activity in 2019/20 and will take into consideration the outcomes of these previous campaigns. PHE will also consult with NHS England on the timings and location of any future campaigns.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 16:18:06 answering member 4067 label Biography information for Steve Brine
tabling member	4658 label Biography information for Alex Sobel

999379

registered interest
date	31/10/2018
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	Rheumatology
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 potential effect on (a) rheumatology healthcare professionals in the NHS and (b) the provision of treatment for people with rheumatology of the UK leaving the EU.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	186432
answer	answer is ministerial correction date of answer 07/11/2018 answer text <p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics. These include staff working in hospital trusts and clinical commissioning groups (CCGs), but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.</p><p> </p><p>The information in the following table shows the number of Professionally qualified clinical staff in National Health Service trusts and CCGs in England in the rheumatology specialty group and the wider rheumatology area of work by nationality group, as at 30 June each year from 2016 and the latest available data, headcount:</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Nationality Group</p></td><td><p>Staff in the Rheumatology speciality group and the wider Rheumatology area of work, headcount</p></td></tr><tr><td rowspan="7"><p>June 2016</p></td><td><p>All nationalities</p></td><td><p>1,972</p></td></tr><tr><td><p>Of which:</p></td><td><p> </p></td></tr><tr><td><p>United Kingdom</p></td><td><p>1,529</p></td></tr><tr><td><p>European Union</p></td><td><p>127</p></td></tr><tr><td><p>European Economic Area</p></td><td><p>2</p></td></tr><tr><td><p>Rest of the World</p></td><td><p>179</p></td></tr><tr><td><p>Unknown</p></td><td><p>137</p></td></tr><tr><td rowspan="7"><p>June 2017</p></td><td><p>All nationalities</p></td><td><p>2,076</p></td></tr><tr><td><p>Of which:</p></td><td><p> </p></td></tr><tr><td><p>United Kingdom</p></td><td><p>1,601</p></td></tr><tr><td><p>European Union</p></td><td><p>140</p></td></tr><tr><td><p>European Economic Area</p></td><td><p>1</p></td></tr><tr><td><p>Rest of the World</p></td><td><p>193</p></td></tr><tr><td><p>Unknown</p></td><td><p>143</p></td></tr><tr><td rowspan="7"><p>June 2018</p></td><td><p>All nationalities</p></td><td><p>2,097</p></td></tr><tr><td><p>Of which:</p></td><td><p> </p></td></tr><tr><td><p>United Kingdom</p></td><td><p>1,635</p></td></tr><tr><td><p>European Union</p></td><td><p>142</p></td></tr><tr><td><p>European Economic Area</p></td><td><p>0</p></td></tr><tr><td><p>Rest of the World</p></td><td><p>210</p></td></tr><tr><td><p>Unknown</p></td><td><p>111</p></td></tr><tr><td rowspan="7"><p>31 July 2018</p></td><td><p>All nationalities</p></td><td><p>2,108</p></td></tr><tr><td><p>Of which:</p></td><td><p> </p></td></tr><tr><td><p>United Kingdom</p></td><td><p>1,639</p></td></tr><tr><td><p>European Union</p></td><td><p>143</p></td></tr><tr><td><p>European Economic Area</p></td><td><p>0</p></td></tr><tr><td><p>Rest of the World</p></td><td><p>215</p></td></tr><tr><td><p>Unknown</p></td><td><p>112</p></td></tr></tbody></table><p>Source: NHS Digital Quarterly HCHS workforce statistics.</p><p> </p><p>The Department continues to monitor and analyse overall staffing levels across the NHS and we are working across Government to ensure there will continue to be sufficient staff to deliver the high-quality services on which patients rely following the United Kingdom’s exit from the European Union. This includes the provision of treatment for people with rheumatology.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 07/11/2018 12:26:12 answering member 4095 label Biography information for Steve Barclay
tabling member	4658 label Biography information for Alex Sobel