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1126877

	registered interest
	date	15/05/2019
	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: Cybersecurity
	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 the National Health Service spent on cyber security in each of the last five years.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	254785
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The information requested on cyber spending covers sensitive detail about cyber security investment for the National Health Service. In this instance, releasing this information at the level of any annual breakdown may assist in determining the effectiveness of detecting cyber-attacks on the NHS, and could compromise measures to protect NHS IT systems, leaving them vulnerable to future cyber-attacks.</p><p>However, in total, over £250 million will have been invested nationally to improve the cyber security of the health and care system between 2016 and 2021. This excludes both investment by local organisations, and wider national IT investment which supports better security such as Microsoft licensing for NHS organisations.</p><p>Regarding the steps taken to defend against cyber attacks on the NHS, the active cyber defence of NHS organisations is a local responsibility for each organisation to carry out. However, there is national support and practical guidance available to NHS organisations which is primarily delivered by NHS Digital but supported and prioritised for the highest risk organisations by NHS England and the Department. In the event of national-scale incidents that affect many health and care organisations, NHS Digital plays a vital role in coordinating and ensuring appropriate technical remediation, as part of the wider cross-system cyber security response led by the Department.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 254786 question first answered 24/05/2019 12:33:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie

1126878

	registered interest
	date	15/05/2019
	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: Cybercrime
	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 has taken to ensure that NHS England is prepared to defend the NHS against cyber attacks.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	254786
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The information requested on cyber spending covers sensitive detail about cyber security investment for the National Health Service. In this instance, releasing this information at the level of any annual breakdown may assist in determining the effectiveness of detecting cyber-attacks on the NHS, and could compromise measures to protect NHS IT systems, leaving them vulnerable to future cyber-attacks.</p><p>However, in total, over £250 million will have been invested nationally to improve the cyber security of the health and care system between 2016 and 2021. This excludes both investment by local organisations, and wider national IT investment which supports better security such as Microsoft licensing for NHS organisations.</p><p>Regarding the steps taken to defend against cyber attacks on the NHS, the active cyber defence of NHS organisations is a local responsibility for each organisation to carry out. However, there is national support and practical guidance available to NHS organisations which is primarily delivered by NHS Digital but supported and prioritised for the highest risk organisations by NHS England and the Department. In the event of national-scale incidents that affect many health and care organisations, NHS Digital plays a vital role in coordinating and ensuring appropriate technical remediation, as part of the wider cross-system cyber security response led by the Department.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 254785 question first answered 24/05/2019 12:33:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie

1127169

	registered interest
	date	16/05/2019
	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	Incontinence
	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 improve urinary continence care in the NHS.
	tabling member constituency	Hornsey and Wood Green
	tabling member printed	Catherine West
	uin	255356
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>In England, it is the responsibility of National Health Service commissioners to make decisions on individual urinary continence care on the basis of the available evidence, taking into account guidance from the National Institute for Health and Care Excellence (NICE) and NHS England where available. In July 2018 NHS England published revised guidance for commissioners to support the development of high-quality continence services. NICE guidance is always evidence based, adhering to the latest clinical thinking and research to determine the best treatment for patients.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/05/2019 13:53:02 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4523 label Biography information for Catherine West

1127181

	registered interest
	date	16/05/2019
	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	Prisons: Mental Health Services
	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 has been made of the effectiveness of the assessment and treatment of prisoner mental health.
	tabling member constituency	Newcastle upon Tyne Central
	tabling member printed	Chi Onwurah
	uin	255324
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>NHS England is working with partners across the criminal justice and immigration removal system to improve services for offenders and detainees with mental health difficulties.</p><p> </p><p>National Health Service England specialised commissioners and NHS England health and justice (H&amp;J) Commissioners have also been working collaboratively alongside the mental health team in NHS England to develop work to improve mental health of prisoners and to develop and improve the system for transfers and remissions of adult prisoners to mental health hospitals</p><p> </p><p>Mental health summits are being delivered regionally to develop the whole offender mental health pathway, identifying local anomalies, and gaps as well as good practice, and producing locally owned action plans to improve services.</p><p> </p><p>In addition, new service specifications have been published for both low and medium secure hospitals as well as prison mental health services. The prison mental health specification embeds the ‘Standards for Prison Mental Health Services’, developed by the Royal College of Psychiatrists to ensure high quality care for all.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/05/2019 12:46:11 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4124 label Biography information for Chi Onwurah

1127292

	registered interest
	date	17/05/2019
	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	Hormone Replacement Therapy
	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 availability of (a) Evorel and (b) Femseven sequi patches.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	255686
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The manufacturer of Evorel transdermal patches has confirmed that supplies of all presentations are currently available. However, they have stated that in some cases supplies are slightly lower than normal and therefore they are applying restrictions on orders as a precaution to ensure limited stock is maintained.</p><p>The Department is aware that the supplier of FemSeven Sequi patches is experiencing long term supply issues. As a result, they are expected to be out of stock until late 2019. We remain in regular contact with the company to resolve this as soon as possible.</p><p>Supplies of other hormone replacement therapy transdermal patches continue to remain available and patients affected have been advised to discuss these alternative treatment options with their clinician.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/05/2019 14:48:55 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4418 label Biography information for Justin Madders

1127290

	registered interest
	date	17/05/2019
	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	Blood: Contamination
	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 13 May 2019 to Question 249855 on Blood: Contamination, whether any treatment is offered to donors whose blood donation tests are positive for infection.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	255657
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>NHS Blood and Transplant’s Clinical Support Team provides support and advice for any donor whose blood donation tests positive for infection.</p><p>The donor will be asked to discuss the result with one of NHS Blood and Transplant’s Clinical Support Team clinical staff and, with the donor’s consent, NHS Blood and Transplant’s Clinical Support Team will arrange a referral to their general practitioner or a specialist, who will discuss the need for any treatment with the donor.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/05/2019 12:55:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	478 label Biography information for Lord Field of Birkenhead

1126924

	registered interest
	date	15/05/2019
	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	Epilepsy
	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 of decreased funding for Public Health England on its ability to decrease health inequalities for people with epilepsy.
	tabling member constituency	Wantage
	tabling member printed	Mr Edward Vaizey
	uin	254782
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>No assessment has been made of the effect of funding for Public Health England (PHE) on its ability to reduce health inequalities for people with epilepsy.</p><p>PHE continues to provide data, intelligence and evidence-based advice to local authorities and the National Health Service on health inequalities and impacts for specific population groups.</p><p>In February 2018, PHE published data analysis for local authorities and the NHS highlighting the number and rate of deaths associated with epilepsy and other neurological conditions. The report identified inequalities in deaths associated with epilepsy and encourages local action. The report can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/publications/deaths-associated-with-neurological-conditions" target="_blank">https://www.gov.uk/government/publications/deaths-associated-with-neurological-conditions</a></p><p>PHE also provides access to intelligence resources on neurological conditions including epilepsy via the ‘Neurology data and analysis: a guide for health professionals’ page on Gov.uk, available to view at the following link:</p><p><a href="https://www.gov.uk/guidance/neurology-data-and-analysis-a-guide-for-health-professionals" target="_blank">https://www.gov.uk/guidance/neurology-data-and-analysis-a-guide-for-health-professionals</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/05/2019 13:51:02 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1580 label Biography information for Lord Vaizey of Didcot

1127293

	registered interest
	date	17/05/2019
	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	Mental Health Services
	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 help ensure that advance decisions on mental health treatment are respected and adhered to.
	tabling member constituency	Bermondsey and Old Southwark
	tabling member printed	Neil Coyle
	uin	255683
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>Last year Professor Sir Simon Wessely, president of the Royal Society of Medicine, submitted his independent review of the Mental Health Act. The review made 154 recommendations – including the establishment of new statutory advance choice documents, so that people’s wishes and preferences carry far more legal weight.</p><p>We have accepted this recommendation.</p><p>The Government is currently considering the detailed recommendations of the review and will respond in due course. We remain committed to reforming mental health law and will develop and bring forward legislation when Parliamentary time allows.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 255684 question first answered 24/05/2019 12:35:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4368 label Biography information for Neil Coyle

1127294

	registered interest
	date	17/05/2019
	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	Mental Health Services
	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 help ensure the adequate (a) monitoring and (b) use of advance decisions in mental health care.
	tabling member constituency	Bermondsey and Old Southwark
	tabling member printed	Neil Coyle
	uin	255684
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>Last year Professor Sir Simon Wessely, president of the Royal Society of Medicine, submitted his independent review of the Mental Health Act. The review made 154 recommendations – including the establishment of new statutory advance choice documents, so that people’s wishes and preferences carry far more legal weight.</p><p>We have accepted this recommendation.</p><p>The Government is currently considering the detailed recommendations of the review and will respond in due course. We remain committed to reforming mental health law and will develop and bring forward legislation when Parliamentary time allows.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 255683 question first answered 24/05/2019 12:35:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4368 label Biography information for Neil Coyle

1127139

	registered interest
	date	16/05/2019
	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	General Practitioners: Migrant Workers
	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 GPs have been recruited through the international GP recruitment programme in each of the last five years; and which countries those GPs were recruited from.
	tabling member constituency	Harborough
	tabling member printed	Neil O'Brien
	uin	255395
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The International GP Recruitment (IGPR) Programme was announced in August 2017 and recruitment began from April 2018. Prior to this, four pilot schemes were established between May 2016 and November 2017. Data on the number of general practitioners (GPs) who accepted a place on the IGPR programme and the pilot schemes and which countries they were recruited from for the years 2016/17 - 2019/20 could only be obtained at disproportionate cost.</p><p>Staff involved in the IGPR Programme are undertaking wider workforce retention activities and the spend on international recruitment is therefore not separately identifiable. A number of staff roles are shared across general practice workforce initiatives to ensure maximum use of the available resource.</p><p>NHS England, Health Education England, and partner organisations continue to review the effectiveness of all measures in place to increase the GP workforce, including international GP recruitment, as part of the wider development of a sustainable general practice workforce.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 255396 255397 question first answered 24/05/2019 13:50:41 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4679 label Biography information for Neil O'Brien