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845516

	registered interest
	date	20/02/2018
	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: Digital Technology
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what progress his Department is making in harnessing digital technologies to deliver mental health services.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	128488
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>The Government is committed to expanding access to mental health digital services to enable more people to receive effective care and provide greater accessibility and choice.</p><p> </p><p>There has been a lot of progress made to date in harnessing digital technologies such as the establishment of seven mental health global digital exemplars which are trusts leading the way in improving digital inclusion and uptake of digital therapies and tools. The National Health Service app library is now hosting six digital tools aimed at improving mental health support and early intervention for children and young people.</p><p> </p><p>There is also ongoing work to redesign the NHS.uk website to improve information and access to digital support for mental health. Development is also underway for a specialist mental health assessment module for NHS111 which will provide more appropriate support and signposting.</p><p> </p><p>For people in need of mental health crisis care who have been detained under the Mental Health Act, new technology is being trialled to enable health and social care professionals, community street triage teams and the police to access appropriate Health Based Places of Safety.</p><p> </p><p>NHS England is working with the National Institute for Health and Care and Excellence in developing a digitally enabled therapy assessment programme which will assess up to 14 digital therapy products for use in Improving Access to Psychological Therapies services by 2020. Three of these 14 products have been assessed for inclusion in this programme so far.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/02/2018 13:07:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie

845517

	registered interest
	date	20/02/2018
	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	Medical Treatments: Innovation
	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 hospitals use new technologies to improve patient care.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	128489
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>As set out in the response to the Accelerated Access Review, published last year, a total of £6 million has been announced to help the National Health Service adopt and integrate new technologies into everyday practice, through the Pathway Transformation Fund. The Pathway Transformation Fund will support NHS organisations to overcome these initial barriers to uptake, allowing the NHS to implement new innovative products where it otherwise would have struggled to do so.</p><p>We are also introducing a new Accelerated Access Pathway, to streamline regulatory and market access decisions, getting breakthrough products that we believe will be truly transformative to patients more quickly. All products including medical technologies, devices and diagnostics will be eligible for selection.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/02/2018 17:33:30 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie

845518

	registered interest
	date	20/02/2018
	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 he is taking to (a) improve the prevention of mental illness and (b) provide mental health support for children and young people.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	128490
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>We acknowledge that prevention is key to transforming children and young people’s mental health and are taking a number of actions to prevent problems occurring. This includes investment of £3 million to develop the MindEd e-portal, which provides free training on children and young people’s mental health to all professionals who work with children, and over the course of 2016/17-2020/21, providing just over £12 million to fund Time to Change. Time To Change aims to raise awareness of mental health illness and address the fear of stigma that can stop young people and their families from seeking the help that they need. We are also delivering mental health awareness training in every school in England, and given that maternal mental health has a significant impact on the child’s mental health, we are investing £365 million up until 2020/21 to improve access to specialist perinatal mental health services.</p><p> </p><p>In order to transform children and young people’s mental health services, we are making an additional £1.4 billion available from 2015/16 to 2019/20, to ensure access to specialist mental health services for 70,000 additional children and young people each year by 2020/21. This additional money provides funding for clinical commissioning groups and various national programmes, including improving crisis support, expanding the workforce and tackling stigma. Our recent Green Paper, which is supported by over £300 million of additional funding, aims to improve provision of support in schools, bolster links between schools and National Health Service specialist services and improve access through piloting a four week waiting time.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/02/2018 13:05:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie

845561

	registered interest
	date	20/02/2018
	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, with reference to paragraph 5, of his Department's paper, Transforming Children and Young People’s Mental Health Provision: a Green Paper, how his Department will ensure that experts and stakeholders are involved in the development and evaluation of different models of delivering Mental Health Support Teams.
	tabling member constituency	Brighton, Pavilion
	tabling member printed	Caroline Lucas
	uin	128533
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>Development of the Green Paper included extensive engagement with experts and many stakeholders through webinars, meetings and a day long focus group with children and young people. We are also using the public online consultation to gather views on how best to implement the proposals, what selection criteria to use for the trailblazer areas which will test roll-out of the proposals and which examples of best practice we should draw on for implementing the Mental Health Support Teams.</p><p> </p><p>During the consultation period, we are also working directly with stakeholders and delivery partners to inform the trailblazer programme and decisions on which delivery models we should test. We will continue to engage experts and stakeholders as we develop the detail around the teams and how they will be rolled-out. We have held various face to face events to ensure that we capture the views of those with relevant experience in this field and those who we hope will benefit from the proposals. This includes four stakeholder roundtables across the country, a parliamentarians’ roundtable and a series of focus groups with children and young people, parents/carers and professionals.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/02/2018 13:04:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3930 label Biography information for Caroline Lucas

845562

	registered interest
	date	20/02/2018
	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 mental health interventions will be provided by the Mental Health Support Teams proposed in Transforming children and young people’s mental health provision: a green paper; whether counselling will be a primary such intervention; and if he will make a statement.
	tabling member constituency	Brighton, Pavilion
	tabling member printed	Caroline Lucas
	uin	128534
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>Mental Health Support Teams will be trained to deliver evidence-based interventions for children and young people with mild/moderate needs. The teams will work collaboratively with senior designated leads in schools and colleges and other professionals such as educational psychologists, school nurses, counsellors and social workers to assess children and refer them on for further treatment if necessary. Over the course of the consultation period we are seeking views on the exact role of the teams.</p><p> </p><p>Many schools recognise the important role that making school-based counselling services available in school settings can play and we know from our mental health in schools survey that around 61% of schools offer counselling. The intention of the new Mental Health Support Teams, is to provide the additional, trained health provision that the evidence suggests is needed, complementing existing mental health provision in schools in a way that secures better joint working and understanding between health services and education. We will work with clinical and other experts to design the curriculum for training staff in the mental health support teams, including the interventions that they will be trained to provide, following the consultation. We will test how the teams work through trailblazers, beginning in 2019.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/02/2018 13:16:09 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3930 label Biography information for Caroline Lucas

845792

	registered interest
	date	20/02/2018
	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	Prescription Drugs: Additives
	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 access to compounded medications including antihistamines are free of (a) colourings and (b) preservatives.
	tabling member constituency	Chesham and Amersham
	tabling member printed	Dame Cheryl Gillan
	uin	128764
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>Anti-histamines are generally available over-the-counter. Often there are several brands available and it is usually possible to select a colour-free brand or avoid an additive of concern. If an additive can cause allergic reactions or has other known effects it must be named on the outer label of the product as well as included in the list of ingredients stated in the Patient Information Leaflet (PIL).</p><p> </p><p>Information about the ingredients used in medicines is available on the website of the Medicines and Healthcare products Regulatory Agency (MHRA) at the following link:</p><p> </p><p><a href="http://www.mhra.gov.uk/spc-pil/" target="_blank">www.mhra.gov.uk/spc-pil/</a></p><p> </p><p>Access to the PIL for medicines licensed in the United Kingdom and the list of ingredients in full is available using the link. Alternatively, patients or healthcare professionals may wish to contact the MHRA to ask whether products free from a particular ingredient have a marketing authorisation and identify the authorisation holder.</p><p> </p><p>Although colours may be considered unnecessary they can help to prevent medication errors by assisting the differentiation between products, especially when they are placed in multi-compartment compliance aids.</p><p> </p><p>All colourings permitted for use in medicines are also permitted for use in foods and allergic reactions to them are extremely rare and usually mild. It is a requirement that the warning “may cause allergic reaction” is in the PIL of medicines when azo colouring agents are used although it is accepted that patients cannot always choose whether or not to use a particular medicine.</p><p> </p><p>The European Medicines Agency (EMA) issued guidance in 2008 and 2013 which discourages the use of colourings with allergenic or toxicological potential in new medicines for children and as more new medicines are licensed the number of colour–free medicines available for children should increase.</p><p> </p><p>Concerns in relation to the more general inclusion colours in medicines have been raised by the MHRA at European level, most recently in November 2017. The MHRA is continuing to work with the EMA to develop further guidance in this area and is leading in the preparation of new guidance on warnings in relation to azo colours and is also involved in initiatives aimed at increasing the availability of colour-free products.</p><p> </p><p>Liquid medicines, such as anti-histamines intended for children, need to last for many months to enable their distribution through the supply chain and be kept in the home ready for the occasion when they are needed. This would be impossible without the use of preservatives preventing microbiological spoilage and the risks this would pose to patients. As a consequence of this, the use of preservatives is necessary in such medicines. Alternatives to preservatives such as syrup based medicines or use of alcohols are also unsuitable for, or are not favoured by, a number of patients.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/02/2018 13:17:49 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	18 label Biography information for Dame Cheryl Gillan

845720

	registered interest
	date	20/02/2018
	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	NHS: ICT
	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 his Department has made of the potential benefits of using blockchain for the NHS; and if he will make a statement.
	tabling member constituency	Walsall North
	tabling member printed	Eddie Hughes
	uin	128692
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>The Department is currently assessing the potential benefits of Blockchain along with a number of other innovative, emerging technologies. Blockchain has the potential to enable patients to have greater control over who can access their records through the use of encrypted data and a permanent ledger in which all transactions are recorded. It also has possible applications in contracting. Globally the use of Blockchain in health and care is in a very early stage of development and there is no firm evidence as yet of the exact benefits it might offer.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/02/2018 17:35:58 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4635 label Biography information for Eddie Hughes

847808

	registered interest
	date	23/02/2018
	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	Eating Disorders
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of eating disorder (a) beds and (b) services were delivered by the private sector in each year since 2010.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	129484
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>Data regarding the split between the number of eating disorder beds and services delivered within the public or private sectors is not available.</p><p> </p><p>Children and young people with eating disorders are routinely and appropriately admitted to other types of Child and Adolescent Mental Health Services (CAMHS) in-patient services. NHS England is currently undertaking a programme of work to redistribute CAMHS beds across the country to open beds in underserved areas of the country and strengthen integration with local pathways.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/02/2018 17:26:23 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4036 label Biography information for Luciana Berger

847802

	registered interest
	date	23/02/2018
	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	Medicines and Medical Devices Safety Independent Review
	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 timetable is for him to receive the report from the Safety of Certain Medicines and Medical Devices Review led by Baroness Cumberlege.
	tabling member constituency	Garston and Halewood
	tabling member printed	Maria Eagle
	uin	129478
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>Baroness Cumberlege will conduct the Medicines and Medical Devices Review with thoroughness and due speed.</p><p> </p><p>Baroness Cumberlege will involve patient groups representative of people concerned by the use of Primodos, Sodium Valproate and vaginal mesh from the early stages of the Review.</p><p> </p><p>Baroness Cumberlege will make contact with the relevant All Party Parliamentary Groups, and in due course Ministers will report back to the House on the Review and the Government’s response.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 129482 129483 question first answered 28/02/2018 17:40:17 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	483 label Biography information for Maria Eagle

847803

	registered interest
	date	23/02/2018
	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	Medicines and Medical Devices Safety Independent Review
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when he plans to finalise the terms of reference for Baroness Cumberlege's Review into the Safety of Certain Medicines and Medical Devices.
	tabling member constituency	Garston and Halewood
	tabling member printed	Maria Eagle
	uin	129479
	answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>The Secretary of State for Health and Social Care has asked Baroness Cumberlege to finalise the terms of reference for the Medicines and Medical Devices Review and to consult on those terms of reference with stakeholders.</p><p> </p><p>Baroness Cumberlege will engage with patient groups and other stakeholders throughout the course of the review.</p><p> </p><p>Baroness Cumberlege will also involve patient groups representative of people concerned by the use of Primodos, Sodium Valproate and vaginal mesh from the early stages of the Medicines and Medical Devices Review.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 129480 129481 question first answered 28/02/2018 17:41:53 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	483 label Biography information for Maria Eagle