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993446

registered interest
date	23/10/2018
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	East Midlands Ambulance Service NHS Trust
house id	1
legislature	25259 pref label House of Commons
question text	What assessment he has made of the correlation between the time taken to assess patients in A&E departments and trends in the patient handover times of East Midlands ambulance service; and if he will make a statement.
tabling member constituency	Chesterfield
tabling member printed	Toby Perkins
uin	907227
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>We are clear that accident and emergency (A&amp;E) departments must deliver timely assessments and treatment to avoid delays in treating incoming patients, including those arriving by ambulance. Intensive support is in place to improve A&amp;E performance and lessen the impact of handover delays on East Midlands Ambulance Service. Performance improvement plans are in place at 11 hospital sites, with progress being closely monitored by NHS Improvement. There is still work to do, but significant progress is being made.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 23/10/2018 12:58:58 answering member 4095 label Biography information for Steve Barclay
tabling member	3952 label Biography information for Mr Toby Perkins

993447

registered interest
date	23/10/2018
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	Flour: Folic Acid
house id	1
legislature	25259 pref label House of Commons
question text	What progress he has made on implementing proposals for the mandatory fortification of flour with folic acid.
tabling member constituency	Cumbernauld, Kilsyth and Kirkintilloch East
tabling member printed	Stuart C. McDonald
uin	907229
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>The Government is continuing to review advice from our expert advisory groups on safe levels of folate intake. Alongside this, we will be issuing a public consultation on the issue of adding folic acid to flour. This will explore this complex issue in detail and allow us to take an informed decision on whether to introduce mandatory fortification of flour. We will announce the date for the consultation soon.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/10/2018 16:43:47 answering member 4067 label Biography information for Steve Brine
tabling member	4393 label Biography information for Stuart C McDonald

993448

registered interest
date	23/10/2018
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	Foetal Alcohol Spectrum Disorder
house id	1
legislature	25259 pref label House of Commons
question text	What assessment he has made of the proportion of children born in the UK with foetal alcohol spectrum disorders in each of the last five years.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	907231
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>Foetal alcohol syndrome disorders can have a significant impact on the early years development of children, their behaviours and their life chances.</p><p>Public Health England collects some data on fetal alcohol sydrome, but we recognise that this data does not reflect the range of fetal alcohol spectrum disorders (FASD), as these are very difficult to diagnose. That is why we are engaging experts and those affected by FASD to explore what more could be done to improve our understanding.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/10/2018 16:44:55 answering member 4067 label Biography information for Steve Brine
tabling member	4061 label Biography information for Bill Esterson

990247

registered interest
date	18/10/2018
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	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which Integrated Care Systems have worked with the independent adult social care sector to prepare for the provision of services during winter 2018-19; and how much capacity has been identified in the adult social care sector.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	181216
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>Integrated Care Systems (ICSs) include local councils, who have statutory responsibility to commission social care for the populations they serve. The Department and NHS England would expect all of them to be regularly talking to and working with social care providers, given their remit to join up health and social care services. ICSs must identify adult social care capacity within their area, in order to meet the social care needs of the population they serve.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/10/2018 16:23:25 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4244 label Biography information for Jonathan Ashworth

990248

registered interest
date	18/10/2018
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	Mental Illness: Sick Leave
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 2017 HSE Work-related stress, depression or anxiety statistics in Great Britain, whether he has had discussions with the Secretary of State for Business, Energy and Industrial Strategy on its findings that mental health and stress account for 49 per cent of all days taken off work; and if he will make a statement.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	181165
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>The Secretary of State often speaks with Cabinet colleagues on a range of issues.</p><p> </p><p>The Health and Safety Executive as an agency of the Department for Work and Pensions sets standards and provides resources and guidance for employers to take positive actions that promote good mental health for all employees whatever the nature of their contract.</p><p> </p><p>In the Industrial Strategy, the Government set out the five principles that we believe underpin the quality of work. These principles are: overall worker satisfaction; good pay; participation and progression; wellbeing, safety and security; and voice and autonomy.</p><p> </p><p>Further, the Government also recognises the importance of mental health which is why the Prime Minister commissioned the Lord Dennis Stevenson and Paul Farmer, the Chief Executive of Mind, to conduct an independent review, Thriving at Work into how employers can better support all employees, including those with mental ill health or wellbeing, to remain in and thrive at work. It presented a compelling business case for employers to take action to improve the wellbeing of their employees providing recommendations for all employers to adopt six core standards that lay the basic foundations for an approach to workplace mental health.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 23/10/2018 16:15:02 answering member 4070 label Biography information for Matt Hancock
tabling member	308 label Biography information for Mr Jim Cunningham

990249

registered interest
date	18/10/2018
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	University Hospitals Coventry and Warwickshire NHS Trust: Finance
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 made representations to the Chancellor of the Exchequer on additional funding for University Hospitals Coventry and Warwickshire NHS Trust as a result of that Trust being classified as requiring improvement.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	181166
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>Trusts are not awarded funding as a result of Care Quality Commission reports or ratings. In the case of University Hospitals Coventry and Warwickshire NHS Trust, we are not aware of any specific quality improvement funding requests. NHS Improvement would normally manage any quality improvement funding required for challenged trusts from within its own budget.</p><p> </p><p>If trusts need to apply for extra capital, the main source in the National Health Service is from internally generated sources of cash, which for trusts has to be within their Capital Resource Limit total issued by NHS Improvement. NHS Providers can also apply to the Department for a range of financing, generally loans and public dividend capital.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 23/10/2018 16:30:17 answering member 4095 label Biography information for Steve Barclay
tabling member	308 label Biography information for Mr Jim Cunningham

990255

registered interest
date	18/10/2018
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	East and North Hertfordshire NHS Trust: ICT
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if his Department will make an assessment of the effect on patient care of the failure of the Lorenzo software system at East and North Herts Hospital NHS Trust.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	181220
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>This incident is still under investigation and the East and North Hertfordshire Hospital NHS Trust is working closely with the East and North Hertfordshire Clinical Commissioning Group to assess the effect on patient care of the failure of the Lorenzo software system in terms of harm to patients.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/10/2018 16:22:42 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4244 label Biography information for Jonathan Ashworth

990259

registered interest
date	18/10/2018
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	Buprenorphine
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 access to Buprenorphine of the recent increase in the price of that drug.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	181221
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>As a consequence of a supply issue affecting buprenorphine earlier this year, some suppliers of buprenorphine have run out of stock and the market price has been increasing since May 2018. Although supplies continued to remain available from other suppliers, we are aware that some may have struggled to support the increase in demand at short notice. The delivery issues were resolved quickly and the overall supply of buprenorphine tablets improved shortly afterwards.</p><p> </p><p>Since this period, the Department has remained in regular contact with all United Kingdom licensed suppliers of buprenorphine and has been working closely with them to monitor their supply position. Based on these conversations, we have been assured that the available supplies are sufficient to meet the usual UK requirements for this drug. The Department continues to monitor this very closely.</p><p> </p><p>The increased purchase price is reflected in the reimbursement price paid to pharmacies, to ensure that supplies remain available to patients. The market for buprenorphine has generally been competitive and we expect the supply situation to improve over the coming weeks which is likely to result in an increasingly competitive market.</p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/10/2018 16:41:59 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

990275

registered interest
date	18/10/2018
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	Mental Illness: 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, with reference to the Answer of 8 February 2016 to Question 25146 on Mental health services: children, how many people aged 18 and under were admitted to A&E for (a) deliberate self-harm and (b) psychiatric conditions in England in each of the last three years.
tabling member constituency	Enfield, Southgate
tabling member printed	Bambos Charalambous
uin	181292
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>The following table shows the number of attendances at accident and emergency (A&amp;E) departments by patients aged 18 and under with a recorded first diagnosis of psychiatric conditions, those where the recorded patient group is 'intentional self harm' and those where both criteria appear, from 2010/11 to 2017/18. Attendances do not represent the number of patients, as a person may attend a National Health Service hospital on more than one occasion within the period.</p><p> </p><p>Count of A&amp;E attendances for patients aged 18 and under</p><table><tbody><tr><td rowspan="2"><p>Criteria</p></td><td colspan="8"><p>Year</p></td></tr><tr><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td><td><p>2014-15</p></td><td><p>2015-16</p></td><td><p>2016-17</p></td><td><p>2017-18</p></td></tr><tr><td><p>Diagnosis - Psychiatric Conditions</p></td><td><p>9,372</p></td><td><p>11,688</p></td><td><p>13,800</p></td><td><p>17,407</p></td><td><p>18,685</p></td><td><p>22,092</p></td><td><p>23,293</p></td><td><p>27,487</p></td></tr><tr><td><p>Patient Group - Intentional Self Harm</p></td><td><p>18,291</p></td><td><p>18,144</p></td><td><p>17,821</p></td><td><p>21,769</p></td><td><p>21,358</p></td><td><p>22,656</p></td><td><p>21,545</p></td><td><p>21,904</p></td></tr><tr><td><p>Attendances where both the above codes were recorded</p></td><td><p>1,491</p></td><td><p>1,824</p></td><td><p>2,151</p></td><td><p>2,700</p></td><td><p>2,874</p></td><td><p>3,158</p></td><td><p>3,228</p></td><td><p>2,981</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><ol><li>Attendances do not represent the number of patients, as a person may attend an NHS hospital on more than one occasion within the period.</li><li>The recording of the diagnosis field within the A&amp;E data set is not mandatory.</li><li>HES figures are available from 2007-08 onwards. Changes to the figures over time should be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</li></ol> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 23/10/2018 16:19:07 answering member 4070 label Biography information for Matt Hancock
tabling member	4610 label Biography information for Bambos Charalambous

990316

registered interest
date	18/10/2018
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	Infant Foods: Safety
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 plans to take to ensure that the full range of functions currently carried out by the European Food Safety Authority in relation to infant formula are continued after the UK leaves the EU.
tabling member constituency	Glasgow Central
tabling member printed	Alison Thewliss
uin	181303
answer	answer is ministerial correction date of answer 23/10/2018 answer text <p>The United Kingdom has a long tradition of close scientific collaboration with the European Food Safety Authority (EFSA) which we greatly value and hope to continue in the future. Contingency plans are being developed to ensure that if continued access to the EFSA is not possible, the UK continues to receive robust scientific advice, that barriers to trade are not created, and that consumer protection and confidence are maintained.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 23/10/2018 16:15:45 answering member 4070 label Biography information for Matt Hancock
tabling member	4430 label Biography information for Alison Thewliss