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1105058

	registered interest
	date	26/03/2019
	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	NHS: Staff
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he is taking to help protect the mental health of NHS staff.
	tabling member constituency	Shrewsbury and Atcham
	tabling member printed	Daniel Kawczynski
	uin	910041
	answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>Protecting the mental health of our hard-working National Health Service staff is very important. That’s why the Workforce Implementation Plan, led by Baroness Harding, will outline proposals for making the NHS ‘the best place to work’. Through this, we will be supporting employers who are responsible for staff mental health by investing in an expanded programme to implement the NHS staff health and wellbeing framework launched last year.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/03/2019 16:31:28 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1566 label Biography information for Daniel Kawczynski

1090935

	registered interest
	date	18/03/2019
	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	Diabetes: Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether his Department plans to support an increase in the use of metabolic surgery for people with Type 2 diabetes.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	233506
	answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>There has been no central assessment of the uptake of bariatric surgeries in the United Kingdom compared to other developed countries.</p><p> </p><p>Clinical commissioning groups are responsible for commissioning diabetes services for their local population, including for those patients who require metabolic or bariatric surgery. It is for clinicians to decide when surgery is appropriate based on the need of the patient and in line with the National Institute for Health and Care Excellence guidance.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 233505 question first answered 26/03/2019 17:20:48 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

1090892

	registered interest
	date	18/03/2019
	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	HIV Infection
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether his Department has assessed the effect on patients of differences in the way that demographic groups receive care for HIV.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	233492
	answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>Public Health England routinely collects data on people accessing HIV care in the United Kingdom. The clinical outcomes of people in HIV care, including anti-retroviral treatment uptake and viral suppression are summarised in the annual HIV surveillance data tables, available to view at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/statistics/hiv-annual-data-tables" target="_blank">https://www.gov.uk/government/statistics/hiv-annual-data-tables</a></p><p> </p><p>Data are presented by key variables including gender, age, ethnicity, country of birth, region of residence and route of probable HIV exposure, to explore outcomes across different population groups. An assessment of the data is available in the annual national HIV surveillance report, at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/statistics/hiv-in-the-united-kingdom" target="_blank">https://www.gov.uk/government/statistics/hiv-in-the-united-kingdom</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/03/2019 17:22:07 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

1091090

	registered interest
	date	18/03/2019
	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	Vaccination: Disinformation
	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 tackle anti-vaccine misinformation.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	233488
	answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>We are aware there is a persistent minority who seek to spread misinformation about vaccinations. The Department for Health and Social Care is working with the Department for Digital, Culture, Media and Sport to explore actions to address this and a range of other online harms, including working with platforms. Collaboration with the Department for Education is underway to ensure pupils understand that vaccines protect against diseases which can cause serious long-term ill-health, including mental and/or physical disability, and death.</p><p> </p><p>Public Health England annual surveys show parents have high levels of confidence in the national childhood immunisation programme and trust the advice about vaccination that comes from the National Health Service and health care workers. In contrast, trust in social media is much lower. However, we are not complacent and continue to look for ways to improve vaccine coverage and promote the facts relating to the value of immunisation and vaccination.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/03/2019 17:16:31 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1447 label Biography information for Andrew Rosindell

1091091

	registered interest
	date	18/03/2019
	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	Poultry: Contamination
	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 reduce the incidence of contaminated chicken being sold at supermarkets.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	233489
	answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>There are comprehensive controls in place throughout the food chain to reduce the levels of contamination in chicken being sold in supermarkets and other locations. These controls include, for example, the national salmonella control programme for broiler chickens at all stages of production, which defines a range of measures to reduce the risk of Salmonella. The Food Standards Agency has also worked closely with industry on reducing Campylobacter contamination over a number of years. This has seen the highest contamination levels of Campylobacter fall from an average of 19% in 2014/15 to 5% in 2016/17 in surveys undertaken at retail level. Latest levels according to major retailers’ data show an average of 3.1% for October-December 2018.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/03/2019 17:21:27 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1447 label Biography information for Andrew Rosindell

1092652

	registered interest
	date	21/03/2019
	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	Surgical Mesh Implants
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of the adequacy of the information available to women on (a) mesh implants, (b) traditional mesh surgery, (c) physiotherapy and (d) other alternatives to mesh implants.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	235263
	answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>NHS England published comprehensive information leaflets on treatment options for stress urinary incontinence and pelvic organ prolapse in 2017. The leaflets have helped to ensure that women are aware of the treatments available and the advantages and disadvantages of each option before consenting to treatment.</p><p> </p><p>In addition, the National Institute for Health and Care Excellence (NICE) has considered information needs as part of its development of a guideline on the management of urinary incontinence and pelvic organ prolapse in women, which is due to be published on 2 April 2019. The draft recommendations state that women should be fully informed and supported to make the right decision about their treatment, taking into account the benefits and risks of all the options as well as any individual social or psychological factors that might affect their decision. NICE and NHS England are developing shared decision aids that will support women to make informed decisions about their care. The decision aids will be published alongside the final guideline.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/03/2019 17:15:38 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1091082

	registered interest
	date	18/03/2019
	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	Midwives
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the effect of reducing the ratio of registered midwives to maternity support workers in midwifery services on (a) workforce skill levels, (b) quality of care, (c) patient safety, (d) staff morale and (e) staff retention.
	tabling member constituency	West Ham
	tabling member printed	Lyn Brown
	uin	233537
	answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>There is no mandated ratio of registered midwives to maternity support workers in midwifery services. Maternity services should develop, update and administer workforce plans, using agreed midwifery specific workforce planning tools. These plans should include the skill mix of midwives and support staff required to provide the quality of care that meets best practice standards. National Health Service provider boards are responsible for making judgements about staffing and the delivery of safe, effective, compassionate and responsive care within available resources. NHS providers for maternity services are supported by guidelines and improvement resources, including the National Quality Board’s ‘Safe, sustainable and productive staffing - An improvement resource for maternity services’ (January 2018), which can be accessed at the following link:</p><p> </p><p><a href="https://improvement.nhs.uk/documents/1353/Safe_Staffing_Maternity_final_2.pdf" target="_blank">https://improvement.nhs.uk/documents/1353/Safe_Staffing_Maternity_final_2.pdf</a></p><p> </p><p>Maternity support workers (MSWs) are an integral part of the maternity workforce and play an important role in supporting midwives and the wider maternity teams, mothers and their babies through pregnancy, labour and during the postnatal period.</p><p> </p><p>On 14 February 2019, Health Education England published a new Maternity Support Worker Competency, Education and Career Development Framework, which can be found at the following link:</p><p> </p><p><a href="https://www.hee.nhs.uk/sites/default/files/document/MSW_Framework_Final.pdf" target="_blank">https://www.hee.nhs.uk/sites/default/files/document/MSW_Framework_Final.pdf</a></p><p> </p><p>The framework gives clarity to the role and sets out the career and skills opportunities available to existing MSWs and those new to the role. The role of MSWs is to undertake, under the direction and supervision of a registered midwife, tasks and duties for which midwifery training and registration are not required (either by statute or professional guidance).</p><p> </p><p>Morale was included in the NHS Staff Survey for the first time in 2018. The overall score for midwives was 5.8 (scores range from 0 which is the worst possible to 10 – the best) which was close to that of staff overall at 6.1. We are working with our arm’s length bodies to improve staff morale to ensure the NHS is the best place to work, proposals for which should be included in the interim People Plan to be published in April 2019.</p><p> </p><p>As at December 2018, there are over 2,200 more Hospital and Community Health Service midwives than there were since the start of this Government.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/03/2019 17:18:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1583 label Biography information for Ms Lyn Brown

1090934

	registered interest
	date	18/03/2019
	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	Obesity: Surgery
	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 reasons for the poor uptake of bariatric surgeries in the UK compared with other developed countries.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	233505
	answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>There has been no central assessment of the uptake of bariatric surgeries in the United Kingdom compared to other developed countries.</p><p> </p><p>Clinical commissioning groups are responsible for commissioning diabetes services for their local population, including for those patients who require metabolic or bariatric surgery. It is for clinicians to decide when surgery is appropriate based on the need of the patient and in line with the National Institute for Health and Care Excellence guidance.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 233506 question first answered 26/03/2019 17:20:48 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

1092665

	registered interest
	date	21/03/2019
	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	Diabetes: Pregnancy
	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 implications for his policies of gestational diabetes and the risk of late stillbirth: a case–control study from England published on 19 March 2019 in the International Journal of Gynaecology and Obstetrics.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	235264
	answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>The Department expects all those involved in providing maternity services to implement the recommendations of the National Institute for Health and Care Excellence (NICE) clinical guidance on diabetes in pregnancy. NICE proactively assesses relevant events occurring at any time after a guideline has been published (for example, publication of a key study) and conducts a standard guideline check every five years. Further information on how NICE keep their guidelines up to date can be found at the following link:</p><p><a href="https://www.nice.org.uk/process/pmg20/chapter/ensuring-that-published-guidelines-are-current-and-accurate" target="_blank">https://www.nice.org.uk/process/pmg20/chapter/ensuring-that-published-guidelines-are-current-and-accurate</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/03/2019 17:17:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1092766

	registered interest
	date	21/03/2019
	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	Pupils: Contraception
	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 times school nurses have issued emergency contraception in each of the last five years for which figures are available.
	tabling member constituency	Southend West
	tabling member printed	Sir David Amess
	uin	235226
	answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>The information requested is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 235225 question first answered 26/03/2019 17:19:47 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	44 label Biography information for Sir David Amess