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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

1121413

	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 HSIB maternity investigations that will be (a) undertaken and (b) completed in 2019.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	243994
	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 243993 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

830251

	registered interest
	date	24/01/2018
	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 estimate he has made of the number of women suffering from Lipedema.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	124912
	answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>Prevalence estimates for Lipoedema vary, though suggest a minimum of 1 in 72,000 women are affected. Approaches to treatment that may be offered by local National Health Service services are usually non-surgical and may include:</p><p> </p><p>- compression therapy (bandages or garments that squeeze the affected limbs);</p><p>- exercise (usually low-impact exercises, such as swimming); and</p><p>- massage (techniques that help encourage the flow of fluid through the body).</p><p> </p><p>Liposuction may be also considered, however there is limited evidence for its efficacy in the treatment of the condition and it is not routinely available on the NHS.</p><p> </p><p>As there has been little research into lipoedema, there is some uncertainty about the best way to treat the condition. The National Institute for Health and Care Excellence has not assessed, and therefore not approved, any approaches for the management or treatment of lipoedema.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 124915 124917 question first answered 01/02/2018 11:46:09 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton

830254

	registered interest
	date	24/01/2018
	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 clinical commissioning groups offer treatment for Lipedema as standard.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	124915
	answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>Prevalence estimates for Lipoedema vary, though suggest a minimum of 1 in 72,000 women are affected. Approaches to treatment that may be offered by local National Health Service services are usually non-surgical and may include:</p><p> </p><p>- compression therapy (bandages or garments that squeeze the affected limbs);</p><p>- exercise (usually low-impact exercises, such as swimming); and</p><p>- massage (techniques that help encourage the flow of fluid through the body).</p><p> </p><p>Liposuction may be also considered, however there is limited evidence for its efficacy in the treatment of the condition and it is not routinely available on the NHS.</p><p> </p><p>As there has been little research into lipoedema, there is some uncertainty about the best way to treat the condition. The National Institute for Health and Care Excellence has not assessed, and therefore not approved, any approaches for the management or treatment of lipoedema.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 124912 124917 question first answered 01/02/2018 11:46:09 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton

830256

	registered interest
	date	24/01/2018
	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 Lipedema treatments have been approved by NICE.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	124917
	answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>Prevalence estimates for Lipoedema vary, though suggest a minimum of 1 in 72,000 women are affected. Approaches to treatment that may be offered by local National Health Service services are usually non-surgical and may include:</p><p> </p><p>- compression therapy (bandages or garments that squeeze the affected limbs);</p><p>- exercise (usually low-impact exercises, such as swimming); and</p><p>- massage (techniques that help encourage the flow of fluid through the body).</p><p> </p><p>Liposuction may be also considered, however there is limited evidence for its efficacy in the treatment of the condition and it is not routinely available on the NHS.</p><p> </p><p>As there has been little research into lipoedema, there is some uncertainty about the best way to treat the condition. The National Institute for Health and Care Excellence has not assessed, and therefore not approved, any approaches for the management or treatment of lipoedema.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 124912 124915 question first answered 01/02/2018 11:46:09 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

890275

	registered interest
	date	24/04/2018
	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 estimate he has made of the cost of Lipedema to the (a) NHS and (b) economy in lost working days in the last twelve months.
	tabling member constituency	East Worthing and Shoreham
	tabling member printed	Tim Loughton
	uin	137380
	answer	answer is ministerial correction date of answer 27/04/2018 answer text <p>The Department has made no estimate on the cost of Lipedema to the National Health Service and to the economy.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/04/2018 13:15:08 answering member 4067 label Biography information for Steve Brine
	tabling member	114 label Biography information for Tim Loughton