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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

1132760

	registered interest
	date	18/06/2019
	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	NHS: Mental Health
	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	Thornbury and Yate
	tabling member printed	Luke Hall
	uin	911417
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>The NHS People Plan will develop a new offer for our people through which they will have voice and support including a focus on improved mental health.</p><p>This will build on progress implementing mental health standards in ‘Thriving at Work – a review of mental health and employers’, which have been included in NHS Standard Contracts and embedded in the National Health Service staff health and wellbeing framework.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 14:50:57 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4450 label Biography information for Luke Hall

1132765

	registered interest
	date	18/06/2019
	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	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	What recent discussions his Department has had with clinical commissioning groups on the Human Fertilisation and Embryology Authority’s guidance on fertility treatment.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	911423
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services that meet the needs of their whole population, including fertility services. The Human Fertilisation and Embryology Aauthority’s guidance for commissioners is a new tool to help them implement National Institute for Health and Care Excellence (NICE) Fertility guidelines and utilise the benchmark price for In Vitro Fertilisation.</p><p>I have written to all CCGs to promote the guidance and benchmark price, and encourage them to fully implement NICE Fertility Guideline recommendations.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 15:21:37 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	298 label Biography information for Steve McCabe

1122090

	registered interest
	date	18/04/2019
	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	Gender Dysphoria: North East
	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 adequacy of waiting times to access NHS specialised gender services in the North East.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	245989
	answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>NHS England has launched an ambitious programme to tackle waiting times, overseen by a Programme Board for Gender Identity Services. NHS England agreed new service specifications for gender dysphoria services in 2018 following a process of extensive stakeholder engagement and public consultation.</p><p>In April 2019 NHS England began a process of national procurement that will determine which organisations are best able to deliver specialist gender services in the future against the new service specifications, and this process is open to new providers. NHS England has also announced plans to establish for evaluation new gender services in primary care settings and other community care settings which if positively evaluated could be rolled out nationally, thereby helping to increase clinical capacity.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/04/2019 16:49:35 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4666 label Biography information for Dr Paul Williams

1105464

	registered interest
	date	27/03/2019
	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	Mental Health Services: Waiting Lists
	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 the statement in the NHS Long Term Plan that four-week waiting times for adult and older adult community mental health teams including for eating disorders will be tested with selected local areas, what the timetable is for those targets to be introduced; and whether funding will be allocated to areas to support these tests.
	tabling member constituency	Bristol West
	tabling member printed	Thangam Debbonaire
	uin	237693
	answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>The NHS Long Term Plan commits to “test four-week waiting times for adult and older adult community mental health teams, with selected local areas”.</p><p> </p><p>The ‘Clinically-led Review of NHS Access Standards’ Interim Report, published in March 2019, states that NHS England will test four-week waiting times for adult and older adult community mental health teams with selected local areas. As part of this work, the report states that NHS England will “consider the interfaces with specialist community mental health services, particularly where there is an existing evidence base for rapid direct access, such as adult eating disorder services, or early intervention in psychosis services, for which there is already a national access and waiting time standard in place.”</p><p> </p><p>The interim report sets out the initial proposals for testing changes to access standards in mental health services, cancer care, elective care and urgent and emergency care. The proposals will be field tested at a selection of pilot sites across England, before wider implementation. The information gathered through field testing and engagement will inform final recommendations from this Review, and ahead of full implementation beginning spring 2020.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/04/2019 14:48:09 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4433 label Biography information for Thangam Debbonaire

1122033

	registered interest
	date	18/04/2019
	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: Children
	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 the report entitled, Improving Children and Young People's Mental Health Services, published in October 2018 by the NAO, if he will make it his policy to (a) implement the recommendations in that report and (b) establish quantifiable objectives to monitor progress their implementation.
	tabling member constituency	Knowsley
	tabling member printed	Mr George Howarth
	uin	245659
	answer	answer is ministerial correction date of answer 30/04/2019 answer text <p>On the basis of the National Audit Office report in October 2018, on 17 December 2018 the Public Accounts Committee (PAC) took evidence and then published a report ‘Mental health services for children and young people’ with recommendations. The Government’s response to the PAC report was published in April 2019 and contains the response to each recommendation, including a commitment to provide annual updates to the Committee until April 2022 on a number of matters.</p><p>The PAC report and the Government’s response is available at the following link:</p><p><a href="https://www.parliament.uk/business/committees/committees-a-z/commons-select/public-accounts-committee/inquiries/parliament-2017/inquiry12/" target="_blank">https://www.parliament.uk/business/committees/committees-a-z/commons-select/public-accounts-committee/inquiries/parliament-2017/inquiry12/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 30/04/2019 14:05:59 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	481 label Biography information for Sir George Howarth

1129159

	registered interest
	date	03/06/2019
	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	Surgery
	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 the recommendations made by the Commission on the Future of Surgery, published by the Royal College of Surgeons, what steps his Department is taking to ensure the (a) interoperability and (b) safe data sharing of different data systems.
	tabling member constituency	Ludlow
	tabling member printed	Mr Philip Dunne
	uin	259122
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>On 17 October 2018, NHS Digital published the National Health Service digital, data and technology standards framework setting out key expectations for the use of data, interoperability, security and design standards within the NHS at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/about-nhs-digital/our-work/nhs-digital-data-and-technology-standards/framework#principles" target="_blank">https://digital.nhs.uk/about-nhs-digital/our-work/nhs-digital-data-and-technology-standards/framework#principles</a></p><p> </p><p>Specifically, it sets out that all NHS digital, data and technology services should support Fast Healthcare Interoperability Resources-based application programming interfaces to enable the delivery of seamless care across organisational boundaries.</p><p> </p><p>The Department has also created NHSX - a new unit dedicated to improving the technology experience within the NHS. NHSX has committed to ensure that future IT systems procured or developed by the NHS will adhere to a range of standards covering the content and format of information as well as ensuring any sharing of information meets the highest standards of safety and privacy.</p><p> </p><p>Safe data sharing is vital to the health and care system. We have already put in over £60 million to improve cyber resilience in hospitals and ambulance services and we’re continuing to invest in capabilities to prevent, detect and respond to cyber-attacks in real time. In addition, all organisations that have access to NHS patient data must complete the Data Security and Protection Toolkit which includes a single set of standards to help them improve their cyber security and carry out self-assessments to measure how well they are doing, and how much they still need to do.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 11/06/2019 16:32:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1542 label Biography information for Philip Dunne

1092131

	registered interest
	date	20/03/2019
	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	Primary Health Care
	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 the recommendations in the report, No room at the inn: how easy is it for nomadic Gypsies and Travellers to access primary care, published by Friends, Families and Travellers in March 2019, what steps he is taking to improve access to primary care for (a) Gypsies and Travellers, (b) homeless people, (c) vulnerable migrants and (d) people in contact with the criminal justice system; and if he will make a statement.
	tabling member constituency	Stretford and Urmston
	tabling member printed	Kate Green
	uin	234719
	answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>Registering with and access to primary medical care services is the same for all patients, whether they are gypsies, travellers, homeless or vulnerable migrants. People do not need to provide proof of address to register with a general practice (GP). NHS England is working with a range of community groups to redesign the patient registration leaflet so that people are aware of this when registering. The free NHS 111 service can assist anyone who has faced difficulty finding a GP or accessing other services in their local area.</p><p> </p><p>NHS England is aware the challenges some individuals have faced when trying to register with a GP and is taking steps to address shortcomings with individual practices, working in partnership with the voluntary sector.</p><p> </p><p>The majority of people in touch with the criminal justice system are in the community and therefore their engagement with primary care services will sit within the responsibility of clinical commissioning groups. For the prison population (approx 86,000) there are primary care services commissioned by NHS England which works to the principle of equivalence and are mandated to deliver a comprehensive health assessment and a treatment pathway for the time an individual remains in custody to ensure that their health needs are identified and met quickly and effectively.</p><p> </p><p>There is a very real recognition by health commissioners that the point of release from custody results in the potential for a person to lose any health gains made whilst in custody due to a change in their health care provider and a failure for a natural pathway for a continuity of healthcare post release.</p><p> </p><p>To this end and included in the NHS Long Term Plan, NHS England Health and Justice commissioners are developing a RECONNECT provision which would support a care pathway being identified for people leaving prison so that the engagement with community health providers are brokered prior to them leaving prison and to support them to access these in the community. This provision is planned to be rolled out across reception and resettlement establishments from 2020.</p><p> </p><p>During the last 12 months NHS England has been undertaking a programme of work into identifying and addressing the health and social care needs of Gypsy, Romany and Travellers (GRT) in the criminal justice system, incorporating lived experience. The primary focus of the work is improving the healthcare of GRT communities who are within the criminal justice system, including access to primary care, addressing long-term health inequalities and exploring issues of exclusion, discrimination and harassment. NHS England is currently developing a range of learning and practice improvement tools for health and other partners and will be followed by learning and improvement events.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/03/2019 17:19:12 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4120 label Biography information for Kate Green

1122112

	registered interest
	date	18/04/2019
	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: 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 the recommendations in the Royal College of Psychiatrists position statement on consultant psychiatrists working across specialities outside normal working hours, what guidance his Department has issued to mental health providers to ensure the adequacy of arrangements for out of hours mental health care for children and young people.
	tabling member constituency	South Shields
	tabling member printed	Mrs Emma Lewell-Buck
	uin	245807
	answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>Currently, out of hours mental health care is available at accident and emergency departments, emergency general practitioner appointments, crisis resolution and home treatment services, crisis houses, and by calling NHS 111 or the Samaritans.</p><p> </p><p>The 2019 NHS Planning Guidance states that “CCGs should ensure there is a crisis response that meets the needs of under 18-year olds. These should be staffed by practitioners who are trained and competent in meeting the specific mental health needs of children and young people. CCGs should work towards delivering age-appropriate 24/7 crisis provision for children and young people (CYP) which combine crisis, liaison and intensive community support functions. This should apply whether or not the model selected by the CCG is a dedicated CYPMH service for 24/7 or extended hours, or a blended model that relies on Core24 to support CYP at some point during the 24 hours.”</p><p> </p><p>Setting up 24 hours a day, seven days a week crisis care provision for children, young people and their families is a key priority for the Government in the NHS Long Term Plan. All children and young people experiencing crisis will be able to access crisis care 24 hours a day, seven days a week by 2023/24 via NHS 111.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/04/2019 16:47:19 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

1126677

	registered interest
	date	14/05/2019
	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	Pregnancy
	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 the paper entitled, Continuation of Unintended Pregnancy published by the Catholic Medical Association in March 2019, what plans his Department has to develop and improve support for mothers who wish to continue with a pregnancy.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	254178
	answer	answer is ministerial correction date of answer 20/05/2019 answer text <p>Women who access healthcare services when pregnant have consultations and conversations with their health care professionals covering their clinical and social history and will be offered tailored advice and support. Care and advice is available to all pregnant women, including those for whom the pregnancy was unintended.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/05/2019 14:19:08 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3958 label Biography information for Fiona Bruce