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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

1132109

	registered interest
	date	13/06/2019
	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: Economic Situation
	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 study entitled Recession, recovery and suicide in mental health patients in England: time trend analysis, published in the British Journal of Psychiatry on 13 June 2019, what assessment he has made of the effect of economic pressures on male adults' mental health; and what steps he is taking to provide support and targeted interventions for patients experiencing financial difficulties.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	264352
	answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>The Government recognises the impact that debt and financial difficulty can have on men’s mental health and wellbeing and that men are at a higher risk of suicide.</p><p> </p><p>The National Suicide Prevention Strategy highlights groups that need tailored approaches to address their mental health needs to reduce their suicide risk, including men. Every local authority has a suicide prevention plan in place and we are investing £25 million over the next three years to support these local plans. We have worked with NHS England and Public Health England to ensure that this funding is used to test different approaches to reaching men in local communities.</p><p> </p><p>We are working with the local government sector to assess the effectiveness of those plans, and a report will be published shortly that will highlight areas of best practice and areas for improvement. This report will include an analysis of the extent to which local authority plans are addressing high risk groups.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/06/2019 16:40:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price previous answer version 123848 answering member constituency Thurrock answering member printed Jackie Doyle-Price answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1132149

	registered interest
	date	13/06/2019
	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	Pregabalin: Safety
	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 study by Oxford University on links between pregabalin and epilepsy, what recent assessment his Department has made of the safety of the epilepsy drug pregabalin.
	tabling member constituency	Morley and Outwood
	tabling member printed	Andrea Jenkyns
	uin	264440
	answer	answer is ministerial correction date of answer 21/06/2019 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) continuously monitors the safety of all medicines on the market in the United Kingdom and seeks independent expert advice from the Commission on Human Medicines and its advisory groups on important new safety issues.</p><p>The MHRA is aware of the study by Molero et al published in the BMJ on 12 June 2019 which suggests that gabapentinoid medicines, pregabalin and gabapentin, are associated with an increased risk of suicidal behaviour, unintentional overdoses, head/body injuries and road traffic incidents and offences.</p><p>Pregabalin is authorised for the treatment of epilepsy, neuropathic pain and generalised anxiety disorder. Pregabalin is recognised to be associated with a range of possible side effects including dizziness, somnolence, loss of consciousness, confusion and mental impairment which could explain the increased risk of injuries and traffic accidents identified in this new study.</p><p>The product information for pregabalin currently contains relevant warnings regarding suicidal ideation and behaviour, possible side effects, as well as the possible effects on driving and operating machinery. The MHRA will carefully consider this new study and whether new advice needs to be issued to healthcare professionals and patients.</p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/06/2019 10:24:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4490 label Biography information for Dame Andrea Jenkyns

1131832

	registered interest
	date	12/06/2019
	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 Services: Finance
	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 of the Children's Commissioner for England on early access to mental health support published in April 2019, what steps his Department is taking to tackle the real-term fall in spending on low-level mental health services across 60 percent of local authorities in England.
	tabling member constituency	Tooting
	tabling member printed	Dr Rosena Allin-Khan
	uin	263904
	answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>The Government recognises the need to adequately fund mental health services for children and young people and, as indicated in the NHS Long Term Plan, for the first time, funding for children and young people’s mental health services will grow faster than both overall National Health Service funding and total mental health funding. Mental health services will continue to receive a growing share of the NHS budget, with funding growing by at least £2.3 billion a year in real terms by 2023/24.</p><p>The Department has made no assessment of the causes for the variation seen in real-terms funding per child for low-level mental health services as this is a matter for local authorities.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/06/2019 13:19:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4573 label Biography information for Dr Rosena Allin-Khan

1137022

	registered interest
	date	04/07/2019
	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	Social 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 by the Children's Commissioner entitled vulnerable children: time for action, published in July 2019, what steps his Department is taking to support children’s social care services to meet their statutory duties.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	273350
	answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>The Government is determined to improve the way local agencies work together to identify and protect people at risk. We are implementing reforms following the Children and Social Work Act 2017, placing a responsibility on health and other partners to work together to develop effective, multi-agency arrangements.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/07/2019 13:22:28 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1133310

	registered interest
	date	19/06/2019
	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	Abortion: Analgesics
	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 release of the Abortion Statistics for England and Wales in 2018 that show a 19 per cent increase in abortions at 24 weeks or more for disability, whether the women who had late term abortions were given the option of painkiller for their unborn baby prior to the termination.
	tabling member constituency	South Holland and The Deepings
	tabling member printed	Sir John Hayes
	uin	266669
	answer	answer is ministerial correction date of answer 28/06/2019 answer text <p>This information is not collected centrally. The Royal College of Obstetricians and Gynaecologists has considered the issue of fetal pain and awareness in its guidelines on ‘The Care of Women Requesting Induced Abortion and Fetal Awareness: Review of Research and Recommendations for Practice’. This concluded that “the case for administering analgesia before an invasive procedure (in addition to maternal general anaesthesia) after 24 weeks when the [fetus’] neuroanatomical connections are in place, needs to be considered together with the practicalities and risks of administration of fetal analgesia. Evidence that analgesia confers any benefit on the fetus at any gestation is lacking but should be a focus of future research”.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/06/2019 10:59:10 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	350 label Biography information for Sir John Hayes

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

1133311

	registered interest
	date	19/06/2019
	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	Abortion: Cleft Palate
	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 recent release of Abortion Statistics for England and Wales 2018 showing that at least 15 unborn babies were terminated due to a cleft palate or cleft lip, if he will make an assessment of the effectiveness of the advice issued to women with unborn children diagnosed with that condition on the procedure to remedy it.
	tabling member constituency	South Holland and The Deepings
	tabling member printed	Sir John Hayes
	uin	266670
	answer	answer is ministerial correction date of answer 28/06/2019 answer text <p>The decision to terminate a pregnancy must rest on the judgement of two doctors, who have to be of one and the same opinion that an abortion meets one of the grounds set out in the Abortion Act 1967, and the woman herself, who must be given enough information and time to help her understand the process so that she can make an informed decision about the options available. When an abnormality is detected or suspected, women and their partners should receive appropriate information and support from a properly trained multidisciplinary team – who must adopt a supportive and non-judgemental approach regardless of whether the decision is to terminate or continue the pregnancy.</p><p>Diagnosis or prognosis does not always tell the whole picture of each individual case. In 1990, when the grounds for abortion where amended, Parliament agreed that doctors were best placed to make these decisions with the woman and her family. The Royal College of Obstetricians and Gynaecologists has published guidance on ‘Termination of Pregnancy for Fetal Abnormality in England, Scotland and Wales’ to assist doctors and other health professionals to support women and their families when a fetal abnormality is diagnosed and to help women to decide, within the bounds of the law, whether or not to have an abortion.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/06/2019 10:28:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	350 label Biography information for Sir John Hayes

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