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1138641

	registered interest
	date	12/07/2019
	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	Autism: Diagnosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will make it his policy to work with NHS England to establish autism diagnosis waiting times standards for each (a) sustainability and transformation partnership and (b) integrated care system.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	276607
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>No one should have to face long waits for an autism assessment. We expect services to adhere to the National Institute for Health and Care Excellence (NICE) quality standard which recommends that the length between referral and a first appointment to start an assessment should be no more than three months.</p><p>We are determined to drive up performance nationally. We will use data on autism diagnosis waiting times, available for the first time later this year, to hold local areas to account and act where waiting times exceed the NICE standard.</p><p>Whilst a diagnosis of autism should happen as soon as possible, it is important to recognise that a diagnosis is often complex and can involve different professionals and agencies. We are following the prevailing clinical guidance set out by NICE.</p><p>NHS England and NHS Improvement encourage local areas to follow existing NICE guidelines and quality standards when commissioning and delivering diagnosis services for both children and adults.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276605 276606 question first answered 17/07/2019 15:23:52 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

1138639

	registered interest
	date	12/07/2019
	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	Autism: Diagnosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will take steps to reduce waiting times for autism assessments for adults.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	276605
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>No one should have to face long waits for an autism assessment. We expect services to adhere to the National Institute for Health and Care Excellence (NICE) quality standard which recommends that the length between referral and a first appointment to start an assessment should be no more than three months.</p><p>We are determined to drive up performance nationally. We will use data on autism diagnosis waiting times, available for the first time later this year, to hold local areas to account and act where waiting times exceed the NICE standard.</p><p>Whilst a diagnosis of autism should happen as soon as possible, it is important to recognise that a diagnosis is often complex and can involve different professionals and agencies. We are following the prevailing clinical guidance set out by NICE.</p><p>NHS England and NHS Improvement encourage local areas to follow existing NICE guidelines and quality standards when commissioning and delivering diagnosis services for both children and adults.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276606 276607 question first answered 17/07/2019 15:23:52 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

1138640

	registered interest
	date	12/07/2019
	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	Autism: Diagnosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will take steps with NHS England to implement a waiting time standard for autism diagnosis in the CCG Improvement and Assessment Framework in order to tackle regional differences.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	276606
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>No one should have to face long waits for an autism assessment. We expect services to adhere to the National Institute for Health and Care Excellence (NICE) quality standard which recommends that the length between referral and a first appointment to start an assessment should be no more than three months.</p><p>We are determined to drive up performance nationally. We will use data on autism diagnosis waiting times, available for the first time later this year, to hold local areas to account and act where waiting times exceed the NICE standard.</p><p>Whilst a diagnosis of autism should happen as soon as possible, it is important to recognise that a diagnosis is often complex and can involve different professionals and agencies. We are following the prevailing clinical guidance set out by NICE.</p><p>NHS England and NHS Improvement encourage local areas to follow existing NICE guidelines and quality standards when commissioning and delivering diagnosis services for both children and adults.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276605 276607 question first answered 17/07/2019 15:23:52 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

1138609

	registered interest
	date	12/07/2019
	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	Health Services: Autism and Learning Disability
	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 NHS Long Term Plan Implementation Framework: system support offer, what his timescale is for completing the national review of Care Treatment Review policies.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	276531
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>The timescale for completing the national review of Care Treatment Review policy is by spring 2020.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/07/2019 15:25:05 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1138610

	registered interest
	date	12/07/2019
	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	Health Services: Autism and Learning Disability
	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 NHS Long Term Plan Implementation Framework: system support offer, whether the quality assurance framework to strengthen existing oversight arrangements for autistic people and people with learning disabilities will be mandatory; and what funding local authorities and CCGs will receive to ensure they can follow that framework.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	276532
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>All commissioners in England have a responsibility to assure themselves of the quality of the services that they commission. The Quality Assurance Framework and Commissioning for Quality Toolkit provide support and guidance for commissioners to undertake this appropriately, in line with their responsibilities. Annex A of the Long Term Plan for the National Health Service sets out the funding which has been allocated to support the commitments in the Long-Term Plan and the previous requirements from the Five Year Forward View, in addition to the published five-year clinical commissioning group allocations.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/07/2019 15:16:45 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1138637

	registered interest
	date	09/07/2019
	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	Restraint Equipment: Dementia
	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 plans to take to prevent online retailers from selling products that are labelled dementia restraints to the public.
	tabling member constituency	Oldham East and Saddleworth
	tabling member printed	Debbie Abrahams
	uin	276537
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>There is a robust legal framework relating to the use of restrictive practices, including the Human Rights Act 2008, Mental Health Act 1983, and the Mental Capacity Act 2005. Restrictive interventions should only be used in line with the legal framework, and by people with the appropriate training in the application of those practices, where there is a real possibility of harm to the person or to staff, the public or other. Mechanical restraints should never be a first line means of managing disturbed behaviour.</p><p>We will consider the most effective way to ensure all online retailers are made aware of the risks and ethical implications of selling products labelled in this way to the public.</p><p>The Government remains committed to delivering the Challenge on Dementia 2020 in full to make England the best place in the world for people with dementia to live.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276538 question first answered 17/07/2019 15:20:20 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4212 label Biography information for Debbie Abrahams

1138638

	registered interest
	date	09/07/2019
	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	Restraint Equipment: Dementia
	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 plans to take to raise awareness among online retailers of the risks and ethical implications of selling products that are labelled dementia restraints to the public.
	tabling member constituency	Oldham East and Saddleworth
	tabling member printed	Debbie Abrahams
	uin	276538
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>There is a robust legal framework relating to the use of restrictive practices, including the Human Rights Act 2008, Mental Health Act 1983, and the Mental Capacity Act 2005. Restrictive interventions should only be used in line with the legal framework, and by people with the appropriate training in the application of those practices, where there is a real possibility of harm to the person or to staff, the public or other. Mechanical restraints should never be a first line means of managing disturbed behaviour.</p><p>We will consider the most effective way to ensure all online retailers are made aware of the risks and ethical implications of selling products labelled in this way to the public.</p><p>The Government remains committed to delivering the Challenge on Dementia 2020 in full to make England the best place in the world for people with dementia to live.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276537 question first answered 17/07/2019 15:20:20 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4212 label Biography information for Debbie Abrahams

1137952

	registered interest
	date	09/07/2019
	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	Mortality Rates: Boys
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of the finding of the Office for National Statistics in its mid-year population estimates published in June, that there has been a 14 per cent annual increase in the rate of mortality of boys aged five to nine.
	tabling member printed	Lord Mendelsohn
	uin	HL17051
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>The Office for National Statistics data shows that for boys aged five to nine there were 137 deaths in England in the period mid-2017 to mid-2018. This is an increase of 19 deaths compared with the period mid-2016 to mid-2017, when there were 118 deaths. As the number of deaths fluctuate between individual years, a longer period must be looked at for evidence of trends. Public Health England’s review of recent trends in mortality in England, showed that there was an improvement in mortality rates for children aged five to nine between 2011 and 2016. There was also an improvement in early periods, 2001 to 2006, and 2006 to 2011.</p><p>Improving child health outcomes is central to the NHS Long Term Plan and for prioritising services for children and young people. It provides a clear focus on improving the health of children and young people across mental health, learning disabilities, cancer and elsewhere.<strong> </strong></p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 17/07/2019 13:33:57 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4286 label Biography information for Lord Mendelsohn

1137951

	registered interest
	date	09/07/2019
	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	Life Expectancy
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of why the UK had one of the largest slowdowns in improvements in life expectancy between 2011 and 2016 out of the 19 countries analysed by the Office for National Statistics in August 2018.
	tabling member printed	Lord Mendelsohn
	uin	HL17050
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>Life expectancy is as high as it has ever been in this country, but the rate of increase in life expectancy has slowed down in recent years. To better understand the reasons for the slowdown, the Department commissioned Public Health England to publish <em>A review of recent trends in mortality in England</em>, which includes comparison to other parts of the United Kingdom, the European Union and United States of America. A copy of the review is attached.</p><p>The overall slowdown in improvements is due to a range of factors operating simultaneously across a wide range of age groups, places, and causes of death. Issues include:</p><p> </p><p>- the slowdown in improvement in mortality from heart disease and stroke, which are the leading causes of death. This is partly influenced by the increasing prevalence of diabetes, obesity, and low physical activity;</p><p>- the size and frequency of recent winter peaks in mortality, which were influenced by the intensity and dominant type of influenza circulating, flu vaccine uptake and effectiveness, and is sometimes exacerbated by cold weather, especially among the very elderly people living with conditions such as dementia. Housing and fuel poverty are key to cold weather vulnerability;</p><p>- in younger adults, the cause of death that had the biggest impact was accidental poisoning, a large proportion of these deaths are due to drug misuse; and</p><p>- small increases in mortality rates from chronic lower respiratory disease in males and females, and other causes in males (including cirrhosis and other liver diseases).</p><p> </p><p>The Government remains committed to giving people five extra years of healthy, independent life by 2035 and to ensuring that everyone gets the same great healthcare no matter where they live, backed by our Long Term Plan for the National Health Service.</p> answering member printed Baroness Blackwood of North Oxford question first answered 17/07/2019 13:35:13 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name Recent_trends_in_mortality_in_England.pdf title A review of recent trends in mortality in England
	tabling member	4286 label Biography information for Lord Mendelsohn

1137940

	registered interest
	date	09/07/2019
	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	Health Services and Social Services: Data Protection
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have, if any, to permit anonymised data (1) controlled, or (2) generated, by publicly funded health and care organisations in the UK to be shared for commercial purposes with businesses headquartered in non-EEA countries after Brexit.
	tabling member printed	Lord Freyberg
	uin	HL17039
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>Access to patient information for commercial purposes is not permitted, unless the patient has given their consent. The Government's principles governing data-sharing agreements entered into by National Health Service organisations, originally published in draft in December 2018 and reaffirmed in the policy framework update document published earlier this month, make clear that NHS data may only be accessed by third parties where there is an explicit aim to improve the health, welfare and/or care of patients in the NHS or the operation of the NHS, and that a fair share of the benefits from any agreements flow back to the NHS. We do not anticipate this will change when the United Kingdom leaves the European Union.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 17/07/2019 14:08:20 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2593 label Biography information for Lord Freyberg