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1136002

	registered interest
	date	01/07/2019
	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	Abortion
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant of his Answer of 16 May 2019 to Question 252526 on the Royal College of Obstetricians and Gynaecologists, what steps his Department takes to ensure that no conflict of interest occurs in the drafting of clinical guidelines on abortion procedures by the Royal College of Obstetricians and Gynaecologists.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	271438
	answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The Royal College of Obstetricians and Gynaecologists (RCOG) is a professional membership association, independent of Government. The RCOG produces guidelines as an aid to good clinical practice and as the national medical authority on abortion, they are best placed to determine the content of guidance based on published evidence.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:01:33 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3958 label Biography information for Fiona Bruce

1136004

	registered interest
	date	01/07/2019
	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	Spina Bifida: Surgery
	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 14 February 2019 to Question 217544 on Spina Bifida: Surgery, what estimate he has made of the average cost of pain relief that will be administered an unborn baby prior to undergoing that fetal surgery.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	271439
	answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The tariff that has been developed for spina bifida fetal surgery includes an estimate of around £800 for fetal drugs which includes drugs for pain relief. However, the actual cost will vary on a case by case basis dependent on the clinical circumstances.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:14:16 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3958 label Biography information for Fiona Bruce

1136005

	registered interest
	date	01/07/2019
	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	Abortion
	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 has taken to ensure the (a) thorough and (b) objective scrutiny of the recommendations submitted by abortion providers to the NICE consultation on its guidance on the termination of pregnancy.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	271440
	answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>This is a matter for the National Institute for Health and Care Excellence (NICE), the independent body for the methods and processes used in the development of its guidance. NICE’s guidance is based on a thorough assessment of the available evidence and is developed through wide consultation with stakeholders.</p><p> </p><p>NICE will be publishing details of the feedback received from all stakeholders on the draft guidance on termination of pregnancy on its website. NICE will provide a response to all the points raised and explain how they have been addressed in the development of the recommendations, with guidance expected to be published on 25 September 2019.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:20:40 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3958 label Biography information for Fiona Bruce

1136043

	registered interest
	date	01/07/2019
	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: Children
	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 1 July 2019 to Question 268980 on Health: Children, to which published research that Answer refers.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	271383
	answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>There are numerous published sources on adverse childhood experiences, including:</p><p>UCL Institute of Health Equity published ‘The impact of adverse experiences in the home on the health of children and young people, and inequalities in prevalence and effects’ (2016). The report is available at the following link:</p><p><a href="http://www.instituteofhealthequity.org/resources-reports/the-impact-of-adverse-experiences-in-the-home-on-children-and-young-people/impact-of-adverse-experiences-in-the-home.pdf" target="_blank">http://www.instituteofhealthequity.org/resources-reports/the-impact-of-adverse-experiences-in-the-home-on-children-and-young-people/impact-of-adverse-experiences-in-the-home.pdf</a></p><p>The Journal of Public Health published ‘Adverse childhood experiences: retrospective study to determine their impact on adult health behaviours and health outcomes in a UK population’. The report is available at the following link:</p><p><a href="https://academic.oup.com/jpubhealth/article/36/1/81/1571104?searchresult=1" target="_blank">https://academic.oup.com/jpubhealth/article/36/1/81/1571104?searchresult=1</a></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:23:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	534 label Biography information for Chris Ruane

1136051

	registered interest
	date	01/07/2019
	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	Abortion
	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 his Department's Abortion Statistics for England and Wales in 2018, how many of the 111 selective terminations were as a result of IVF treatment that was funded from the public purse.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	271445
	answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>This information is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:16:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3958 label Biography information for Fiona Bruce

1136054

	registered interest
	date	01/07/2019
	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	Abortion
	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 his Department's Abortion Statistics for England and Wales in 2018, what assessment he has made of the implications for his Department's policy of the increase in the number of repeat abortions.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	271446
	answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>Repeat unintended pregnancy and abortion is a complex issue associated with increased age and longer exposure to pregnancy risks. Before discharge from abortion services future contraception should be discussed with all women and contraceptive supplies offered. We are also looking at ways to increase access to contraception, which will be set out in Public Health England’s reproductive health action plan to be published this year.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:17:15 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3958 label Biography information for Fiona Bruce

1135499

	registered interest
	date	28/06/2019
	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	Eating Disorders: 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 he is taking to ensure that ensure that patients diagnosed with eating disorders begin treatment within four weeks.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	270815
	answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>The Government is aware of the importance of early intervention when treating people with an eating disorder and we recognise that the earlier treatment is provided, the greater the chance of recovery.</p><p>The Government set up the first ever waiting time standards to improve access to eating disorder services for children and young people, supported by £30 million a year to develop 70 new or extended community eating disorder services across the country. These have improved access to effective eating disorder treatment in the community, with the number of children and young people accessing treatment increasing from 5,243 in 2016/17 to 6,867 in 2017/18.</p><p>NHS England is on track to deliver the waiting time standard for children and young people by 2020/21 and as need continues to rise, extra investment will allow us to maintain delivery of the standard beyond 2020/21.</p><p>The NHS Long Term Plan has committed to test four-week waiting times for adult and older adult community mental health teams, with selected local areas that will include eating disorders. This will form part of the overall testing of new models of primary and community mental health care in 2019/20 and 2020/21.</p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/07/2019 16:00:37 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4510 label Biography information for Helen Hayes

1135500

	registered interest
	date	28/06/2019
	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	Eating Disorders: 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 estimate he has made of the average time people waited to begin treatment for eating disorders in 2018-19.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	270816
	answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>Waiting times standards for eating disorder treatment are currently only available for children and young people. NHS England is on track to deliver the waiting time standard for children and young people by 2020/21. The latest available information (January – March 2019) shows:</p><p>- 80.6% of young people started treatment for an urgent case within one week against a target of 95% by 2020/21; and</p><p>- 82.4% of young people started treatment for a routine case within four weeks against a target of 95% by 2020/21.</p><p>The NHS Long Term Plan has committed to test four-week waiting times for adult and older adult community mental health teams, with selected local areas that will include eating disorders. We are also investing in new models of care focusing on early intervention and prevention which will ultimately reduce the need for inpatient beds and ensure that people receive treatment in the most appropriate place. By improving care in the community, we can improve outcomes and recovery, reduce rates of relapse or prevent eating disorders continuing into adulthood and, if admission is required as a very last resort, reduce lengths of stay.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/07/2019 16:01:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4510 label Biography information for Helen Hayes

1135501

	registered interest
	date	28/06/2019
	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	Eating Disorders: 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 he has made of the effectiveness of early intervention services to treat eating disorders before patients are hospitalised.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	270817
	answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>The National Institute for Health and Care Excellence published its guideline on ‘Eating disorders: recognition and treatment (NG69)’ on May 2017 based on the evidence available. These highlight the importance of assessing and treating eating disorders at the earliest opportunity.</p><p>The Government set up the first ever waiting time standards to improve access to eating disorder services for children and young people, supported by £30 million a year to develop 70 new or extended community eating disorder services across the country.</p><p>NHS England is on track to deliver the four-week waiting time standard for children and young people by 2020/21 and, as need continues to rise, extra investment will allow us to maintain delivery of the standard beyond 2020/21.</p><p>The NHS Long Term Plan has committed to testing four-week waiting times for adult and older adult community mental health teams, with selected local areas that will include eating disorders. This will form part of the overall testing of new models of primary and community mental health care between 2019/20 and 2020/21.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/07/2019 15:56:51 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4510 label Biography information for Helen Hayes

1135601

	registered interest
	date	28/06/2019
	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
	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 potential link between mental well-being and the risk of developing physical illnesses.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	270715
	answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>We recognise that people living with severe mental illness (SMI) are at greater risk of physical illness and face one of the greatest inequality gaps in England with life expectancy 15-20 years lower than the general population.</p><p>To help address this disparity in health outcomes, in 2016, in the Five Year Forward View Mental Health, NHS England committed to leading work to ensure that, by 2020/21, 280,000 people living with SMI have their physical health needs met by increasing early detection and expanding access to evidence-based physical care assessments and interventions each year.</p><p>In the NHS Long Term Plan, NHS England committed to building on this ambition so that the number of people receiving physical health checks will further increase, by 2023/24, to an additional 110,000 people per year, bringing the total to 390,000 checks delivered each year.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/07/2019 15:58:12 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	534 label Biography information for Chris Ruane