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1126623

	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	Baby Care Units: 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 his Department has made of the adequacy of long-term mental health support given to parents of babies discharged from neonatal units.
	tabling member constituency	Lewisham, Deptford
	tabling member printed	Vicky Foxcroft
	uin	254232
	answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>Perinatal mental health services are available to all parents, including parents of babies that have been discharged from neonatal units, when they need it.</p><p>In April 2019, NHS England confirmed that new and expectant mothers across the country are now able to access specialist mental health care in the area where they live. The rollout of specialist community services across the whole of England, means that those suffering from perinatal mental health problems are able to access high quality care much closer to home.</p><p> </p><p>The Five Year Forward View for Mental Health committed to invest £365 million from 2015/16 to 2020/21 in perinatal mental health services to ensure that, by 2020/21, at least 30,000 more women each year are able to access evidence-based specialist mental health care during the perinatal period.</p><p> </p><p>The NHS Long Term Plan includes a commitment for a further 24,000 women to be able to access specialist perinatal mental health care by 2023/24. Specialist care will also be available from preconception to 24 months after birth, which will provide an extra year of support. Support will also be extended to fathers and partners of women accessing specialist perinatal mental health services and maternity outreach clinics.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/05/2019 16:41:06 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4491 label Biography information for Vicky Foxcroft

1126557

	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	Department of Health and Social Care: Sick Leave
	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 and what proportion of officials in his Department took sick leave for reasons relating to stress in the last 12 months; what proportion that leave was of total sick leave taken in his Department; and what the cost was to his Department of officials taking sick leave over that period.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	254066
	answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>The number of employees in the Department from 1 April 2018 to 31 March 2019 who were absent due to mental health reasons, including stress was 46, this represented 3% of the total workforce. The proportion of sickness absence related to mental health reasons, including stress, was 22% of the overall sickness absence for the Department for the same time period.</p><p> </p><p>The estimated cost to the Department from 1 April 2018 to 31 March 2019 for employees taking sickness absence, is estimated at £936,927.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 22/05/2019 10:28:23 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	151 label Biography information for Tom Brake

1127578

	registered interest
	date	20/05/2019
	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: ICT
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will develop a national action plan to (a) provide all NHS hospitals with automated dispensing cabinets integrated with ePMA to improve patient safety and eradicate errors in medicine prescription and administration and (b) deliver on all other aspects of his Department's technology vision.
	tabling member constituency	St Austell and Newquay
	tabling member printed	Steve Double
	uin	256369
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>Funding has been identified (£68 million) to support the acceleration of the introduction of ePrescribing and Medicine Administration (ePMA) systems for which there is evidence to support benefit. Individual trusts are making their own determinations of requirements for technology such as automated cabinets and are introducing as required locally. Work to integrate such systems with ePMA has started and will be reinforced with the advent of medication messaging standards as these are developed.</p><p>The Government has created NHSX, a joint unit between the Department, NHS England and NHS Improvement, to deliver the Secretary of State for Health and Social Care's Technology Vision and build on the Long Term Plan for the NHS. NHSX will combine all the levers of policy, implementation and change to allow a single-minded focus on giving the National Health Service the technology that patients and clinicians need.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2019 10:23:54 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4452 label Biography information for Steve Double

1127107

	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	Chemical Weapons: Salisbury
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will commission a review of the public health response to the Salisbury and Amesbury Novichok incidents in 2018 to inform future policy on the protection of public health.
	tabling member constituency	Christchurch
	tabling member printed	Sir Christopher Chope
	uin	255256
	answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>Public Health England, NHS England and the Department have carried out post-incident reviews into their response to the Salisbury and Amesbury Novichok incidents. These were subsequently discussed within the Department in September of last year.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/05/2019 16:24:19 answering member 4455 label Biography information for Seema Kennedy
	tabling member	242 label Biography information for Sir Christopher Chope

1127557

	registered interest
	date	20/05/2019
	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	Social 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, what discussions he has had with the Chancellor of the Exchequer in advance of the spending review on increasing funding for social care services.
	tabling member constituency	Birmingham, Ladywood
	tabling member printed	Shabana Mahmood
	uin	256277
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care has regular discussions with the Chancellor of the Exchequer on a variety of issues.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2019 10:26:02 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	3914 label Biography information for Shabana Mahmood

1127095

	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	Retinoblastoma: Children
	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 ensure that GPs are trained to identify retinoblastoma in young children.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	255295
	answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>Each individual medical school sets its own undergraduate medical curriculum. These have to meet the standards set by the General Medical Council (GMC), who then monitor and check to make sure that these standards are maintained.</p><p>The curricula for postgraduate specialty training is set by individual royal colleges and faculties, and the GMC approves curricula and assessment systems for each training programme. Training curricula for doctors emphasise the skills and approaches that a doctor must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients. The Royal College of General Practitioners sets the curriculum for general practitioners (GPs). In order to demonstrate the core competences in the care of children and young people, the curriculum sets out that GPs should be aware of the early presenting symptoms of childhood cancers and possible differentials, such as retinoblastoma.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 255296 question first answered 21/05/2019 16:18:23 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1436 label Biography information for Paul Farrelly

1127100

	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	Retinoblastoma: Children
	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 ensure that optometrists are trained to identify retinoblastoma at an early stage in young children.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	255296
	answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>Each individual medical school sets its own undergraduate medical curriculum. These have to meet the standards set by the General Medical Council (GMC), who then monitor and check to make sure that these standards are maintained.</p><p>The curricula for postgraduate specialty training is set by individual royal colleges and faculties, and the GMC approves curricula and assessment systems for each training programme. Training curricula for doctors emphasise the skills and approaches that a doctor must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients. The Royal College of General Practitioners sets the curriculum for general practitioners (GPs). In order to demonstrate the core competences in the care of children and young people, the curriculum sets out that GPs should be aware of the early presenting symptoms of childhood cancers and possible differentials, such as retinoblastoma.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 255295 question first answered 21/05/2019 16:18:23 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1436 label Biography information for Paul Farrelly

1127334

	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	Isotretinoin: Side Effects
	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 potential health risks and psychiatric side-effects of the drug Roaccutane.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	255661
	answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>As with all medicines in the United Kingdom, the Medicines and Healthcare products Regulatory Agency continuously monitors the safety of isotretinoin-containing medicines. This includes reports of suspected adverse drug reactions submitted by healthcare professionals, patients and carers through the Yellow Card scheme, as well as published and unpublished data. As new evidence on safety emerges it is carefully evaluated and, where appropriate, product information is updated and advice for prescribers and patients is issued.</p><p>Specific assessments of possible psychiatric side effects associated with isotretinoin were considered by an Expert Working Group of the Commission on Human Medicines in 2005 and 2014. In addition, the risk of neuropsychiatric disorders was evaluated in a European review which was completed in 2018. This review concluded that the warnings in the product information for medicines containing isotretinoin regarding possible psychiatric adverse effects reflected what was known.</p><p>Since 1998, warnings regarding the possible risk of developing depression and other psychiatric side effects have been included in the product information for Roaccutane and the generic versions of isotretinoin (the Summary of Product Characteristics for healthcare professionals and the patient information leaflet). The product information for isotretinoin warns that treatment may be associated with possible psychiatric side effects, that particular care needs to be taken in patients with a history of depression; and that all patients on isotretinoin should be monitored for signs of depression and referred for appropriate treatment if necessary. It also states that stopping isotretinoin may not lead to improvement and therefore further psychiatric or psychological evaluation may be necessary.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/05/2019 16:42:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1127680

	registered interest
	date	20/05/2019
	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	Psychiatric Hospitals: Children
	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 ensure that children are not unnecessarily admitted to mental health hospitals.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	256250
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>The Department is committing increased expenditure to support the provision of mental health services in the community, to reduce the need for children to be admitted to mental health hospitals unless absolutely necessary.</p><p>Through the NHS Long Term Plan, published in January 2019, mental health funding will grow by at least £2.3 billion a year by 2023/24, with funding for children and young people’s mental health services growing faster than both overall National Health Service funding and total mental health spending. This extra investment will mean an extra 345,000 children and young people aged 0-25 will receive mental health support by 2023/24.</p><p>The key proposals in ‘Transforming children and young people’s mental health provision: a green paper’ aim to improve early intervention. New mental health support teams will deliver evidence-based interventions in or close to schools and colleges for those with mild to moderate mental health issues in 25 trailblazer areas in England. 12 of the 25 trailblazer sites will pilot a four-week waiting time to speed up children and young people’s access to NHS mental health services.</p><p>Over the next five years, the NHS will therefore continue to invest in expanding access to community-based mental health services to meet the needs of more children and young people.</p><p>The NHS Long Term Plan prioritises services for children and young people, providing a clear focus on improving the health and wellbeing of children and young people with learning disabilities and/or autism, as well as committing to implementing ‘Building the right support’ in full, achieving at least a 50% reduction in the number of people with a learning disability or autism who are inpatients, compared to the figure in 2015, by the end of 2023/24.</p><p>The Long Term Plan sets out specific commitments to achieve this by developing new models of care to provide care closer to home and investing in intensive, crisis and forensic community support. By 2023/24 children and young people with a learning disability, autism or both with the most complex needs will also have a designated keyworker. These will be initially provided to children and young people who are inpatients or at risk of being admitted to hospital.</p><p>Furthermore, the Government is committed to reviewing mental health legislation so that it works better for both adults and children. We are currently considering the findings from the independent review of the Mental Health Act 1983, which covers how a person can be detained or sectioned for treatment and will respond in due course.</p><p> </p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/05/2019 16:47:51 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1127539

	registered interest
	date	20/05/2019
	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	Older People: Abuse
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he is taking steps to bring forward legislative proposals to reduce the abuse of older people in social care; and if he will make a statement.
	tabling member constituency	Bridgend
	tabling member printed	Mrs Madeleine Moon
	uin	256269
	answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>The Government has no plans to bring forward legislation to reduce the abuse of older people in social care.</p><p>The Government is committed to preventing and reducing the risk of harm to people in vulnerable situations.</p><p>The Care Act 2014 statutory guidance states that local authorities should ensure that the services they commission are safe, effective and of high quality. Where it is suspected that an individual may be at risk of abuse or neglect local authorities have a duty to carry out proportionate enquiries.</p><p>Regulated providers have a key role in safeguarding adults. All professions are subject to employer checks and controls and employers in the health and care sector must satisfy themselves regarding the skills and competence of their staff and the Care Quality Commission monitors how well providers are doing this.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2019 10:21:35 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1490 label Biography information for Mrs Madeleine Moon