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969184

	registered interest
	date	06/09/2018
	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	Food: Labelling
	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 are being taken to improve the clarification of calorific food labelling in order to achieve his Department's 2024 calorie reduction targets.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	171287
	answer	answer is ministerial correction date of answer 13/09/2018 answer text <p>As part of chapter 2 of the childhood obesity plan, we will be launching a consultation on introducing consistent calorie labelling for the out of home sector later this year.</p><p> </p><p>We are also considering the opportunities offered by exiting the European Union, which include giving us greater flexibility to determine what information should be presented on packaged food and how it should be displayed, and we will work alongside industry and other stakeholders to decide what will be next for front of pack nutrition labelling. We want to build on the success of our current scheme and ensure we are using the most effective ways to communicate information to families.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2018 13:20:16 answering member 4067 label Biography information for Steve Brine
	tabling member	338 label Biography information for Keith Vaz

944713

	registered interest
	date	19/07/2018
	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	Acupuncture
	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 Clinical Commissioning Groups have adequate funding to maintain the provision of NHS-funded acupuncture services.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	166178
	answer	answer is ministerial correction date of answer 24/07/2018 answer text <p>Clinical commissioning group (CCG) funding is determined through the CCG funding allocation formula, a statistical formula used to make geographic distribution of funding fair and reflective of local healthcare needs. CCGs have a statutory responsibility to commission services which meet the needs of their local population, however the National Health Service does not have unlimited resources and CCGs may have to make difficult decisions about commissioning high-quality care cost-effectively.</p><p> </p><p>CCGs have the flexibility within the legislative framework to decide how far to commission these functions and have the flexibility to commission any service provider that meets NHS standards and costs.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/07/2018 10:47:21 answering member 4067 label Biography information for Steve Brine
	tabling member	4243 label Biography information for Dan Jarvis

969186

	registered interest
	date	06/09/2018
	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	Diabetes and Obesity
	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 provide specialist bariatric weight assessment and management clinics for patients (a) with diabetes and (b) that are classified as obese.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	171288
	answer	answer is ministerial correction date of answer 14/09/2018 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning complex obesity services for adults, which include all bariatric surgical procedures and the associated care. Children’s bariatric surgery remains the responsibility of NHS England Specialised Services.</p><p> </p><p>When developing their associated commissioning policies and treatment criteria, we would expect CCGs to take into account any relevant current guidance, and consider the wider context of their actions which may include the costs incurred as a result of setting criteria which may deny or delay treatment for patients requiring bariatric surgery.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/09/2018 10:40:13 answering member 4067 label Biography information for Steve Brine
	tabling member	338 label Biography information for Keith Vaz

909563

	registered interest
	date	22/05/2018
	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	Obesity: South Yorkshire
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how his Department is working with NHS services in South Yorkshire to ensure obesity services are properly funded and effectively managed.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	146858
	answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning health care services to meet the needs of their population. Health and Wellbeing Boards will bring together local partners including CCGs and local authorities to ensure the right services are in place.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) provides national clinical guidance and advice, based on best evidence of clinical and cost effectiveness, for use of interventions, technology and devices.</p><p> </p><p>NICE has produced a suite of guidance on tackling obesity including ‘Obesity: identification, assessment and management of overweight and obesity in children, young people and adults’, which includes access to all tiers of obesity services. This guidance is available at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg189" target="_blank">www.nice.org.uk/guidance/cg189</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/06/2018 14:09:35 answering member 4067 label Biography information for Steve Brine
	tabling member	4243 label Biography information for Dan Jarvis

995570

	registered interest
	date	26/10/2018
	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	Acupuncture
	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 24 July 2018 to Question 166178 on Acupuncture, what steps his Department is taking to maintain the provision of acupuncture services in the NHS.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	184425
	answer	answer is ministerial correction date of answer 31/10/2018 answer text <p>Clinical commissioning groups have a statutory responsibility to commission cost effective health care for their patients. In doing so they use their clinical expertise to assess and prioritise those treatments, including acupuncture services, that provide the safest and most effective outcomes for the population as a whole.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 31/10/2018 14:11:55 answering member 4067 label Biography information for Steve Brine
	tabling member	4243 label Biography information for Dan Jarvis

993709

	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	Mental Illness: Parents
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what his Department's guidelines are for clinicians assessing patients with mental health problems who also have parental responsibilities.
	tabling member constituency	East Kilbride, Strathaven and Lesmahagow
	tabling member printed	Dr Lisa Cameron
	uin	182851
	answer	answer is ministerial correction date of answer 30/10/2018 answer text <p>Clinical guidance for the National Health Service is published by the National Institute for Health and Care Excellence (NICE). NICE has published guidance on antenatal and postnatal mental health which is available at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/cg192" target="_blank">https://www.nice.org.uk/guidance/cg192</a></p><p> </p><p>NICE does not have any additional guidance that specifically addresses people with mental health conditions who also have parental responsibilities.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 30/10/2018 12:03:51 answering member 4070 label Biography information for Matt Hancock
	tabling member	4412 label Biography information for Dr Lisa Cameron

928688

	registered interest
	date	21/06/2018
	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	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, what steps his Department is taking to ensure that information on learning disability is included in the training of healthcare staff.
	tabling member constituency	East Kilbride, Strathaven and Lesmahagow
	tabling member printed	Dr Lisa Cameron
	uin	156444
	answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>Employers have a statutory responsibility to provide sufficient numbers of suitably qualified, competent, skilled and experienced staff to meet the needs of the people using health services, including those with a learning disability.</p><p> </p><p>The Learning Disability Core Skills Education and Training Framework, published in July 2016 sets out the requisite skills and competencies that staff need to deliver care and support to people with a learning disability. The Framework sets out the necessary skills across three tiers. Tier 1, knowledge for roles that require general awareness of learning disabilities; Tier 2, knowledge and skills for roles that will have some regular contact with people with a learning disability and Tier 3, knowledge and skills for those providing care and support for people with a learning disability. Training should be provided in line with this Framework.</p><p> </p><p>Health Education England (HEE) is currently producing eLearning materials to support Tier 1 learning disability awareness training. This free online training will be available to all staff in 2019. HEE will also be writing to all education providers reminding them of the Learning Disability Core Skills Education and Training Framework and ask them to ensure that all staff groups include Tier 1 awareness training as a minimum.</p><p> </p><p>HEE also uses a workforce development fund to support the ongoing development of staff, with spending focused on priority areas, including staff working with people with learning disabilities and/or autism. Examples of the type of development that is supported includes, Positive Behavioural Support, Total Attachment Theory, Leadership programmes, Mindfulness-based Stress Reduction, Learning Disability Mortality, Building the Right Support, Early Positive Approaches to Support, Restraint Reduction, Positive Behavioural Support Workshops for family carers, Forensic learning disabilities skills, Trauma informed care and Autism.</p><p> </p><p>All nurses receive learning disabilities training as part of their pre-registration education. Curricula are set by individual education providers, to standards set by the professional regulators.</p><p> </p><p>Additionally, since April 2015, newly appointed health care assistants, including those who will provide care and support to people with a learning disability have been undergoing training as part of the national implementation of the Care Certificate. The Care Certificate equips new staff with the knowledge and skills which they need to provide safe, compassionate care across a range of areas, including the care of people with a learning disability.</p><p> </p><p>We have committed that there will be a response to each of the recommendations of the Learning Disabilities Mortality Review Programme annual report, including the recommendation on training. The response will be published soon.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 156445 question first answered 27/06/2018 13:04:02 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4412 label Biography information for Dr Lisa Cameron

928689

	registered interest
	date	21/06/2018
	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	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, what steps his Department is taking to support the provision of continuing professional development in respect of learning disabilities for all front-line health staff.
	tabling member constituency	East Kilbride, Strathaven and Lesmahagow
	tabling member printed	Dr Lisa Cameron
	uin	156445
	answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>Employers have a statutory responsibility to provide sufficient numbers of suitably qualified, competent, skilled and experienced staff to meet the needs of the people using health services, including those with a learning disability.</p><p> </p><p>The Learning Disability Core Skills Education and Training Framework, published in July 2016 sets out the requisite skills and competencies that staff need to deliver care and support to people with a learning disability. The Framework sets out the necessary skills across three tiers. Tier 1, knowledge for roles that require general awareness of learning disabilities; Tier 2, knowledge and skills for roles that will have some regular contact with people with a learning disability and Tier 3, knowledge and skills for those providing care and support for people with a learning disability. Training should be provided in line with this Framework.</p><p> </p><p>Health Education England (HEE) is currently producing eLearning materials to support Tier 1 learning disability awareness training. This free online training will be available to all staff in 2019. HEE will also be writing to all education providers reminding them of the Learning Disability Core Skills Education and Training Framework and ask them to ensure that all staff groups include Tier 1 awareness training as a minimum.</p><p> </p><p>HEE also uses a workforce development fund to support the ongoing development of staff, with spending focused on priority areas, including staff working with people with learning disabilities and/or autism. Examples of the type of development that is supported includes, Positive Behavioural Support, Total Attachment Theory, Leadership programmes, Mindfulness-based Stress Reduction, Learning Disability Mortality, Building the Right Support, Early Positive Approaches to Support, Restraint Reduction, Positive Behavioural Support Workshops for family carers, Forensic learning disabilities skills, Trauma informed care and Autism.</p><p> </p><p>All nurses receive learning disabilities training as part of their pre-registration education. Curricula are set by individual education providers, to standards set by the professional regulators.</p><p> </p><p>Additionally, since April 2015, newly appointed health care assistants, including those who will provide care and support to people with a learning disability have been undergoing training as part of the national implementation of the Care Certificate. The Care Certificate equips new staff with the knowledge and skills which they need to provide safe, compassionate care across a range of areas, including the care of people with a learning disability.</p><p> </p><p>We have committed that there will be a response to each of the recommendations of the Learning Disabilities Mortality Review Programme annual report, including the recommendation on training. The response will be published soon.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 156444 question first answered 27/06/2018 13:04:02 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4412 label Biography information for Dr Lisa Cameron

931850

	registered interest
	date	27/06/2018
	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 Health Services: 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, how much funding his Department has allocated to (a) Barnsley Clinical Commissioning Group and (b) Barnsley Council for the provision of (i) Tier 1, (ii) TIer 2 and (iii) Tier 3 CAMHS in that region in each of the last three years.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	158259
	answer	answer is ministerial correction date of answer 02/07/2018 answer text <p>Expenditure on children and young people’s mental health and children and young people’s eating disorders is tracked in the Five Year Forward View for Mental Health Dashboard, which is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/" target="_blank">https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/</a></p><p> </p><p>However this information is not broken down to show information on expenditure for Tier 1, Tier 2 and Tier 3 Child and Adolescent Mental Health Services.</p><p> </p><p>For 2016/17 in Barnsley Clinical Commissioning Group (CCG) the actual spend on children and young people’s mental health, excluding learning disabilities and eating disorders, was £4.178 million and for eating disorders was £143,000. For 2017/18 in Barnsley CCG the planned spend on children and young people’s mental health, excluding learning disabilities and eating disorders, is £4.3 million and for eating disorders it is £143,000. Information for 2015/16 is not available.</p><p> </p><p>Funding for Barnsley council to deliver services is through the local government finance settlement; this is generally un-ring fenced resource to deliver a range of services including social care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 02/07/2018 14:11:08 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4243 label Biography information for Dan Jarvis

931849

	registered interest
	date	27/06/2018
	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 Health Services: 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, what steps his Department is taking to ensure that local authorities receive sufficient funding for the provision of Tier 1 and Tier 2 CAMHS.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	158258
	answer	answer is ministerial correction date of answer 02/07/2018 answer text <p>Expenditure on children and young people’s mental health and children and young people’s eating disorders is tracked in the Five Year Forward View for Mental Health Dashboard. However this information is not broken down to show information on expenditure for Tier 1 and Tier 2 Child and Adolescent Mental Health Services (CAMHS). The dashboard is available at the following link:</p><p> </p><p><a href="http://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/" target="_blank">www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/</a></p><p> </p><p>NHS England does not make specific allocations for programme areas like CAMHS. Budgets and contracts for services are decided and commissioned locally by clinical commissioning groups (CCGs) which assess local needs. Furthermore, NHS England does not determine allocations or contracts for local authorities. Again, these are decided and commissioned locally by CCGs in response to local need.</p><p> </p><p>Under the Mental Health Investment Standard (MHIS), all CCGs are required to increase mental health expenditure in line with their overall allocation. The MHIS is being introduced into planning guidance from 2018/19 so all CCGs will have to meet it.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 02/07/2018 14:08:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4243 label Biography information for Dan Jarvis