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984394

	registered interest
	date	09/10/2018
	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	Multiple Births
	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 undertake a review of the data collected by the Royal College of Obstetricians and Gynaecologists in its National Maternity Perinatal Audit on (a) good and (b) poor care in twin pregnancies.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	177151
	answer	answer is ministerial correction date of answer 15/10/2018 answer text <p>According to the National Maternity and Perinatal Audit (NMPA), the majority of its measures are restricted to data available on singleton, term births. The NMPA have stated that it plans to analyse a set of key measures for preterm and multiple births and to publish this separately. We will then consider how these data might inform its policies for improving maternity safety.</p><p> </p><p>The latest MBRRACE-UK Perinatal Mortality Surveillance Report noted that between 2014-2016 twin stillbirths reduced by 44% and neonatal deaths fell by 30%. These falls are statistically significant and the largest fall among any population since records began.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 15/10/2018 16:44:31 answering member 4070 label Biography information for Matt Hancock
	tabling member	114 label Biography information for Tim Loughton

1121409

	registered interest
	date	11/04/2019
	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	Maternity Services: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether all healthcare regions of England have fully (a) staffed and (b) operational Healthcare Safety Investigation Branch maternity investigation teams.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	243991
	answer	answer is ministerial correction date of answer 26/04/2019 answer text <p>As from 1 April 2019, the Healthcare Safety Investigation Branch (HSIB) maternity investigations programme is fully staffed and operational in every healthcare region in England.</p><p>The HSIB is estimated to undertake 1,000 investigations in 2019. Work will be undertaken to forecast future estimates for the next three years based on the most recent datasets held by the HSIB.</p><p>Since the start of the HSIB maternity investigations programme up until 12 April 2019, a total of 401 investigations have gone live and four investigations have been completed. From 1 April 2019 HSIB will be operating at full capacity and is continuously refining its methodology to improve the turn-around time for completing investigations. As a result, the number of investigations completed are expected to increase in 2019.</p><p>The 60-day timeframe applies to the current NHS Serious Incident Framework. In line with the National Health Service Trust Development Authority (Healthcare Safety Investigation Branch) (Additional Investigatory Functions in respect of Maternity Cases) Directions 2018, HSIB is required to complete investigations within 6 months. <strong> </strong></p><p>The HSIB’s investigations will replace hospital reviews of intrapartum stillbirths only for cases which fall within scope of the Royal College of Obstetricians and Gynaecologists’ Each Baby Counts criteria. This criterion includes all term babies (at least 37 completed weeks of gestation) born following labour who have one of the following outcomes: intrapartum stillbirth or where the baby was thought to be alive at the start of labour but was born with no signs of life.</p><p>The HSIB was allocated £10 million in 2018/19 for the maternity investigations programme. A final budget for 2019/20 is to be finalised. Budgets for future years have not been determined.</p><p>The National Health Service Trust Development Authority (Healthcare Safety Investigation Branch) (Additional Investigatory Functions in respect of Maternity Cases) Directions 2018 states that “In carrying out the additional investigatory functions, the ‘safe space principle’ as described at paragraph 6(1) of HSIB Directions does not apply.”</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 243992 243993 243994 243995 243996 243997 243998 question first answered 26/04/2019 13:10:58 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	114 label Biography information for Tim Loughton

1121411

	registered interest
	date	11/04/2019
	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	Maternity Services: Safety
	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 number of maternity investigations to be undertaken by the HSIB Maternity Investigation teams in (a) 2019 and (b) the next three years.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	243992
	answer	answer is ministerial correction date of answer 26/04/2019 answer text <p>As from 1 April 2019, the Healthcare Safety Investigation Branch (HSIB) maternity investigations programme is fully staffed and operational in every healthcare region in England.</p><p>The HSIB is estimated to undertake 1,000 investigations in 2019. Work will be undertaken to forecast future estimates for the next three years based on the most recent datasets held by the HSIB.</p><p>Since the start of the HSIB maternity investigations programme up until 12 April 2019, a total of 401 investigations have gone live and four investigations have been completed. From 1 April 2019 HSIB will be operating at full capacity and is continuously refining its methodology to improve the turn-around time for completing investigations. As a result, the number of investigations completed are expected to increase in 2019.</p><p>The 60-day timeframe applies to the current NHS Serious Incident Framework. In line with the National Health Service Trust Development Authority (Healthcare Safety Investigation Branch) (Additional Investigatory Functions in respect of Maternity Cases) Directions 2018, HSIB is required to complete investigations within 6 months. <strong> </strong></p><p>The HSIB’s investigations will replace hospital reviews of intrapartum stillbirths only for cases which fall within scope of the Royal College of Obstetricians and Gynaecologists’ Each Baby Counts criteria. This criterion includes all term babies (at least 37 completed weeks of gestation) born following labour who have one of the following outcomes: intrapartum stillbirth or where the baby was thought to be alive at the start of labour but was born with no signs of life.</p><p>The HSIB was allocated £10 million in 2018/19 for the maternity investigations programme. A final budget for 2019/20 is to be finalised. Budgets for future years have not been determined.</p><p>The National Health Service Trust Development Authority (Healthcare Safety Investigation Branch) (Additional Investigatory Functions in respect of Maternity Cases) Directions 2018 states that “In carrying out the additional investigatory functions, the ‘safe space principle’ as described at paragraph 6(1) of HSIB Directions does not apply.”</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 243991 243993 243994 243995 243996 243997 243998 question first answered 26/04/2019 13:10:58 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	114 label Biography information for Tim Loughton

1121412

	registered interest
	date	11/04/2019
	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	Maternity Services: Safety
	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 HSIB maternity investigations have been (a) undertaken and (b) completed since its inception.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	243993
	answer	answer is ministerial correction date of answer 26/04/2019 answer text <p>As from 1 April 2019, the Healthcare Safety Investigation Branch (HSIB) maternity investigations programme is fully staffed and operational in every healthcare region in England.</p><p>The HSIB is estimated to undertake 1,000 investigations in 2019. Work will be undertaken to forecast future estimates for the next three years based on the most recent datasets held by the HSIB.</p><p>Since the start of the HSIB maternity investigations programme up until 12 April 2019, a total of 401 investigations have gone live and four investigations have been completed. From 1 April 2019 HSIB will be operating at full capacity and is continuously refining its methodology to improve the turn-around time for completing investigations. As a result, the number of investigations completed are expected to increase in 2019.</p><p>The 60-day timeframe applies to the current NHS Serious Incident Framework. In line with the National Health Service Trust Development Authority (Healthcare Safety Investigation Branch) (Additional Investigatory Functions in respect of Maternity Cases) Directions 2018, HSIB is required to complete investigations within 6 months. <strong> </strong></p><p>The HSIB’s investigations will replace hospital reviews of intrapartum stillbirths only for cases which fall within scope of the Royal College of Obstetricians and Gynaecologists’ Each Baby Counts criteria. This criterion includes all term babies (at least 37 completed weeks of gestation) born following labour who have one of the following outcomes: intrapartum stillbirth or where the baby was thought to be alive at the start of labour but was born with no signs of life.</p><p>The HSIB was allocated £10 million in 2018/19 for the maternity investigations programme. A final budget for 2019/20 is to be finalised. Budgets for future years have not been determined.</p><p>The National Health Service Trust Development Authority (Healthcare Safety Investigation Branch) (Additional Investigatory Functions in respect of Maternity Cases) Directions 2018 states that “In carrying out the additional investigatory functions, the ‘safe space principle’ as described at paragraph 6(1) of HSIB Directions does not apply.”</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 243991 243992 243994 243995 243996 243997 243998 question first answered 26/04/2019 13:10:58 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	114 label Biography information for Tim Loughton

971815

	registered interest
	date	11/09/2018
	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	Radiotherapy
	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 adequacy of the capacity of high-energy proton beam cancer therapy in the UK for NHS patients.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	173488
	answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>During the development of the business case for the Department for the NHS Proton Beam Therapy (PBT) centres, an assessment of the internationally accepted standard clinical indications that are likely to benefit from PBT was made, and the associated patient numbers, together with an assessment of the numbers and types of patients for whom further clinical trials and evaluative studies are justified. This will allow all appropriate paediatric and teenage and young adult patients with a paediatric spectrum of tumours to be accommodated. It is essential that a robust evidence base is established for specific situations in commoner adult cancers where there is currently little, if no evidence of superior outcomes, hence the research capacity built in to the programme. NHS England is commissioning two PBT Centres in England based on this assessment and after reaching full capacity they should be able to treat up to 1,500 patients per annum.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2018 16:49:58 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton

971811

	registered interest
	date	11/09/2018
	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	Radiotherapy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what facilities in the UK offer high-energy proton beam cancer therapy treatment in (a) the NHS and (b) the private sector.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	173485
	answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>In April 2012, the Secretary of State for Health and Social Care announced that £250 million would be invested to build proton beam therapy facilities at The Christie Hospital in Manchester and University College London Hospital (UCLH). Contracts were signed with Varian Medical Systems, Interserve Construction at The Christie, and Bouygues UK at UCLH at the end of July 2015. The Christie has been operational since 20 August 2018 and expects the first patients to be treated in the autumn. UCLH is currently on schedule to begin treating patients in summer 2020.</p><p> </p><p>NHS England does not hold information about high-energy proton beam provision in the private sector.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2018 16:53:23 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton

896564

	registered interest
	date	02/05/2018
	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	Prescription Drugs: Waste Disposal
	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 value of unused prescription drugs returned to pharmacies and NHS outlets for disposal in the last 12 months for which figures are available.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	140545
	answer	answer is ministerial correction date of answer 09/05/2018 answer text <p>Information is not held centrally on the value of unused prescription drugs returned to pharmacies and National Health Service outlets for disposal.</p><p> </p><p>The Department commissioned the York Health Economics Consortium and the School of Pharmacy at the University of London to carry out research to determine the scale, causes and costs of waste medicines in England. The report, Evaluation of the Scale, Causes and Costs of Waste Medicines, was published on 23 November 2010. This found that the gross cost of unused prescription medicines in primary and community care in the NHS in England in 2009 was £300 million a year and that up to £150 million of this was avoidable. The report is available at:</p><p> </p><p><a href="http://discovery.ucl.ac.uk/1350234/" target="_blank">http://discovery.ucl.ac.uk/1350234/</a></p><p> </p><p>A number of initiatives have been rolled out which NHS England expects will directly impact on medicines wastage, including the deployment of clinical pharmacists and pharmacy technicians in general practice and also in care homes to undertake medicines reviews; and rolling out dose-banded chemotherapy drugs for cancer. In addition, work to address problematic polypharmacy and ensure appropriate de-prescribing, the establishment of a patient and public medicines adherence campaign and addressing variation through the use of RightCare principles will also contribute to a reduction in medicines waste.</p><p> </p><p>While recognising the importance of reducing medicines wastage from a value for money perspective, the key to securing a reduction in medicines wastage is implementation of the principles of medicines optimisation, ensuring that each patient receives the right medicine, at the right dosage, at the right time.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/05/2018 15:07:54 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton

830400

	registered interest
	date	25/01/2018
	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	Lipoedema
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what learning modules are approved by NHS England to clinicians dealing with Lipedema cases.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	124966
	answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>It is not the role of NHS England to routinely endorse or approve clinical learning modules. Learning modules are developed by a broad range of organisations, including: Health Education England, the national organisation responsible for overseeing the workforce recruitment, education and training in the National Health Service; clinical professional membership organisations, such as the Royal College of General Practitioners (RCGP); and health charities.</p><p> </p><p>In May 2014, the RCGP, in partnership with the charity Lipoedema UK, developed and published an e-learning module for general practitioners on the diagnosis and management of lipoedema. The module was endorsed by the Royal College of Nursing and can be found at the following link:</p><p> </p><p>elearning.rcgp.org.uk/course/info.php?id=146&amp;popup=0</p> answering member constituency Winchester answering member printed Steve Brine question first answered 01/02/2018 11:47:34 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton

861161

	registered interest
	date	13/03/2018
	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 Visitors
	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 his Department has made of the number of (a) actual and (b) full time equivalent health visitors who have been employed in each of the last seven years.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	132310
	answer	answer is ministerial correction date of answer 16/03/2018 answer text <p>NHS Digital publishes information on workforce statistics and the following table shows the full time equivalent (FTE) and headcount (HC) figures for health visitors working in National Health Service trusts and clinical commissioning groups (CCGs) in each of the last seven years.</p><p> </p><p>NHS Hospital and Community Health Services (HCHS): Health visitors in NHS trusts and CCGs in England as at 30 November each specified year (FTE and HC).</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Health visitors (FTE)</p></td><td><p>Health visitors (HC)</p></td></tr><tr><td><p>November 2010</p></td><td><p>7,961</p></td><td><p>9,884</p></td></tr><tr><td><p>November 2011</p></td><td><p>7,812</p></td><td><p>9,626</p></td></tr><tr><td><p>November 2012</p></td><td><p>7,963</p></td><td><p>9,647</p></td></tr><tr><td><p>November 2013</p></td><td><p>8,526</p></td><td><p>10,213</p></td></tr><tr><td><p>November 2014</p></td><td><p>9,629</p></td><td><p>11,407</p></td></tr><tr><td><p>November 2015</p></td><td><p>10,279</p></td><td><p>12,173</p></td></tr><tr><td><p>November 2016</p></td><td><p>9,376</p></td><td><p>11,142</p></td></tr><tr><td><p>November 2017</p></td><td><p>8,317</p></td><td><p>9,995</p></td></tr></tbody></table><p><br>Source: Provisional NHS HCHS monthly workforce statistics, NHS Digital</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/03/2018 11:59:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	114 label Biography information for Tim Loughton

971813

	registered interest
	date	11/09/2018
	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	Radiotherapy
	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 NHS England patients have been treated with high-energy proton beam cancer therapy in England and Wales in each of the last five years.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	173486
	answer	answer is ministerial correction date of answer 09/10/2018 answer text <p>NHS England has not funded any patients to have high-energy proton beam therapy in England and Wales in the last five years.</p><p> </p><p>Over the past five years, 895 National Health Service patients have been treated overseas with high-energy proton beam therapy at a total cost of just over £91 million. These figures include patients from England, Scotland and Northern Ireland but exclude patients from Wales. NHS England does not routinely split financial information between treatment and travel/subsistence costs. Further detail is provided in the following table.</p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td><td><p>2017/18</p></td><td><p>Total</p></td></tr><tr><td><p>Number of patients approved for referral</p></td><td><p>119</p></td><td><p>144</p></td><td><p>213</p></td><td><p>203</p></td><td><p>216</p></td><td><p>895</p></td></tr><tr><td><p>Total cost</p></td><td><p>£9.13 million</p></td><td><p>£12.63 million</p></td><td><p>£20.81 million</p></td><td><p>£24.51 million</p></td><td><p>£24.19 million</p></td><td><p>£91.27 million</p></td></tr></tbody></table><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 173487 question first answered 09/10/2018 16:56:45 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton