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1143418

registered interest
date	02/09/2019
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	Alzheimer's Disease: 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 assessment he has made of the quality of care provided to people with Alzheimer's in NHS hospitals.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	284946
answer	answer is ministerial correction date of answer 05/09/2019 answer text <p>We remain committed to delivering the Challenge on Dementia 2020 in full to make England the best country in the world for dementia care.</p><p>The National Audit of Dementia Care in General Hospitals 2018–2019 published in July 2019 and undertaken on behalf of NHS England and NHS Improvement and the Welsh Government, shows that improvements have continued in the care of people with dementia in hospitals across England and Wales since the previous audit of 2017. For example, 96% of hospitals in England and Wales now have a system in place for more flexible family visiting and a large number (88%) of carers (and/or patients) receive a copy of the discharge plan.</p><p>The report is available at the following link:</p><p><a href="https://www.rcpsych.ac.uk/docs/default-source/improving-care/ccqi/national-clinical-audits/national-audit-of-dementia/r4-resources/national-audit-of-dementia-round-4-report-online.pdf?sfvrsn=f75c5b75_6" target="_blank">https://www.rcpsych.ac.uk/docs/default-source/improving-care/ccqi/national-clinical-audits/national-audit-of-dementia/r4-resources/national-audit-of-dementia-round-4-report-online.pdf?sfvrsn=f75c5b75_6</a></p><p> </p><p><strong> </strong></p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/09/2019 12:08:45 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	308 label Biography information for Mr Jim Cunningham

1143426

registered interest
date	02/09/2019
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
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 report Neuro Patience: Still Waiting for Improvements in Treatment and Care published by the Kings Fund on 9 July 2019, what steps the Government is taking to improve support for people with neurological conditions who have unmet health, social care and mental health needs.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	284975
answer	answer is ministerial correction date of answer 05/09/2019 answer text <p>The Neuro Patience report, published by the Neurological Alliance, presents the findings of an online survey of the experiences of people with neurological conditions in engaging with health and social care. Patient insights can provide useful intelligence to commissioners and service planners when delivering or reviewing service provision, highlighting areas where improvements can be made.</p><p>NHS England works to provides tailored national support, enabling local commissioners and providers to drive improvement and ensure services best reflect the needs of individual communities. NHS England also works with patient organisations such as the Neurological Alliance to raise awareness and support improved outcomes for people living with neurological conditions. This includes reflecting on intelligence and insights, such as those provided by the survey report, to drive improvements in care.</p><p>NHS England established the National Neurology Advisory Group (NNAG) with the Neurological Alliance, which led the development of a national collaborative clinical leadership model, bringing together key stakeholders, a range of national clinical leaders and patient groups. The NNAG, which is co-chaired by Professor Adrian Williams (who serves as chair for NHS England’s neurosciences Clinical Reference Group), aims to support alignment between neurology improvement programmes in NHS England, arm’s length bodies and system partners; and to guide the strategic development of work to improve outcomes for people living with neurological conditions.</p><p /><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/09/2019 12:14:16 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4244 label Biography information for Jonathan Ashworth

1143433

registered interest
date	02/09/2019
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	Hearing Aids: Research
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 he is taking to support research and development of new hearing aid technology.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	285006
answer	answer is ministerial correction date of answer 05/09/2019 answer text <p>The Department funds research mainly through the National Institute for Health Research (NIHR). The usual practice of the NIHR and other research funders is not to ring-fence funds for expenditure on particular topics. The NIHR welcomes funding applications for research into any aspect of human health, including hearing aid technology.</p><p>In 2017-18 the NIHR was supporting four studies related to hearing aid technology and improving the use of hearing aids through its research infrastructure in the National Health Service. Between 2017 and 2019, the NIHR Clinical Research Network supported eight clinical studies related to hearing aid technology.</p><p>The NIHR funds three Biomedical Research Centres (BRCs) which have research themes related to hearing loss, deafness and hearing health. The total NIHR investment in these three BRC research themes over the five years from 1 April 2017 is £10.9 million. This includes the Manchester BRC that has established the United Kingdom’s only Hearing Device Research Centre to drive innovation in interventions for hearing loss and to accelerate the translation of new hearing technologies into the NHS.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/09/2019 16:20:33 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	308 label Biography information for Mr Jim Cunningham

1143434

registered interest
date	02/09/2019
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	Audiology
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 he is taking to increase uptake of NHS hearing services.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	285014
answer	answer is ministerial correction date of answer 05/09/2019 answer text <p>Clinical commissioning groups (CCGs) together with their local providers are responsible to ensure there are clearly defined referral arrangements in place to facilitate timely access to regular and specialist services when required. The Commissioning Framework for Hearing Loss is guidance for organisations responsible for planning and commissioning local hearing services for deaf people, published in 2016 by NHS England. The Framework offers guidance and models of care that commissioners may utilise to support local needs.</p><p>The Action Plan on Hearing Loss, published in March 2015, was developed with input from the Department of Health and Social Care, NHS England, Public Health England, other Government Departments, key stakeholders across the voluntary, professional and private sectors and people with hearing loss. The aim of the Plan is to deliver improved hearing outcomes and support for individuals, and it sets out key objectives including improving prevention, early diagnosis, maximising independence, and enabling people to take part in everyday activities, like going to work.</p><p>In July 2019, the National Institute for Health and Care Excellence published a quality standard for adult-onset hearing loss. This will support CCGs to improve the commissioning of services.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/09/2019 12:14:49 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	308 label Biography information for Mr Jim Cunningham

1143572

registered interest
date	02/09/2019
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	Transplant Surgery: Reciprocal Arrangements
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 he is taking to ensure the continuation of arrangements for the sharing of human organs for transplantation across EU borders after the UK leaves the EU.
tabling member constituency	Wigan
tabling member printed	Lisa Nandy
uin	284988
answer	answer is ministerial correction date of answer 05/09/2019 answer text <p>The United Kingdom shares small numbers of organs with European Union countries. In 2018/19, 14 organs from deceased donors came into the UK from EU countries, and 13 left the UK.</p><p>The current UK regulatory frameworks transpose the EU Organ Donation Directives and set high standards of patient safety. We have amended the legislation through The Quality and Safety of Organs Intended for Transplantation (Amendment) (EU Exit) Regulations 2019 to maintain the current safety and quality standards to allow organ exchange to continue following EU Exit.</p><p>NHS Blood and Transplant is the organisation responsible for organ donation in the UK and is working with their partner organisations in the EU which should ensure that plans are in place to allow organ exchange to continue post-EU Exit.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/09/2019 12:11:37 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4082 label Biography information for Lisa Nandy

1143674

registered interest
date	02/09/2019
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	Dementia: 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, with reference to the finding in the Royal College of Psychiatrists fourth annual National Audit of Dementia Care in General Hospitals 2018-19 that 40 per cent of patients with dementia are not being given an initial assessment for delirium, what steps his Department is taking to ensure that all patients with delirium are given an initial delirium assessment as set out in NICE guidelines.
tabling member constituency	Oldham East and Saddleworth
tabling member printed	Debbie Abrahams
uin	285278
answer	answer is ministerial correction date of answer 05/09/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) clinical guidelines provide recommendations for the care of individuals in specific clinical conditions or circumstances within the National Health Service. NICE’s clinical guidelines help healthcare professionals deliver the best possible care based on the best available evidence. The guidelines are not mandatory, although health and care commissioners are expected to take them fully into account.</p><p>One of the key priorities of NHS England’s Long Term Plan is to reduce avoidable admissions to hospital and to ensure that, when admission is needed, people with dementia and delirium experience the best possible care.</p><p>We are committed to further expanding the provision of liaison mental health services so that no acute hospital is without an all-age mental health liaison service in accident and emergency (A&amp;E) departments and inpatient wards by 2020/21. The establishment of acute frailty services in all hospitals with a major A&amp;E department by the end of 2019 will ensure that patients can be assessed, treated and supported by skilled multidisciplinary teams delivering a geriatric assessment within the first hour of arrival. These services will support better identification and treatment of dementia and delirium in hospitals.</p><p> </p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/09/2019 12:10:19 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4212 label Biography information for Debbie Abrahams

1143894

registered interest
date	02/09/2019
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: Brexit
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 discussions his Department has had with Bristol City Council on the effect on social care of the UK leaving the EU without a withdrawal agreement.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	285328
answer	answer is ministerial correction date of answer 05/09/2019 answer text <p>The Department is working closely with local authorities, other government departments and with national partners, including the Local Government Association and the Association of Directors of Adult Social Services, to do everything appropriate to prepare for a ‘no deal’ exit from the European Union on 31 October 2019. This will ensure that the potential impacts of exit on vulnerable people using adult social care services are mitigated as far as possible.</p><p>The Ministry for Housing, Communities and Local Government (MHCLG) has stepped up its preparedness significantly and is speaking regularly to councils and partners, including through a delivery board and a network of nine regional lead chief executives. Every council has designated a ‘Brexit Lead Officer’ to work with central government to intensify their local preparations and, in total, the Ministry for Housing, Communities and Local Government has made £77 million available to help local areas get ready for EU exit.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/09/2019 16:22:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4433 label Biography information for Thangam Debbonaire

1143948

registered interest
date	02/09/2019
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	Care Homes: Recreation Spaces
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 make it compulsory for all residential nursing and care homes to have outdoor recreational space.
tabling member constituency	Bishop Auckland
tabling member printed	Helen Goodman
uin	284976
answer	answer is ministerial correction date of answer 05/09/2019 answer text <p>The Government has no plans to make it compulsory for residential care settings to have outdoor recreational space but is committed to ensuring that local authorities offer a meaningful choice of adult social care services to people in their local area. That is why the Care Act 2014 places a duty on local authorities to shape their local markets and ensure that people have a range of high-quality, person-centred care and support options available to them, and that they can access the services that best meet their needs.</p><p>The National Institute for Health and Care Excellence has published guidance on improving the experience of care and support for people using care services and recommends that day and residential care settings should enable people to choose from a range of leisure activities that allow them to participate in a variety of aspects of daily life. This includes recreational activities that take place outside the home.</p><p>The Care Quality Commission, which monitors, inspects and regulates the quality of adult social care services, is also clear that everyone should have the right to person-centred care that is tailored to and meets their needs and preferences.</p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/09/2019 16:24:42 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1484 label Biography information for Helen Goodman

1142016

registered interest
date	25/07/2019
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	Loneliness: Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what research his Department has (a) commissioned and (b) evaluated on the potential effect of loneliness and social isolation on recovery rates from (i) cardiovascular disease, (ii) cancer and (iii) mental health conditions.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	282221
answer	answer is ministerial correction date of answer 04/09/2019 answer text <p>The Department is investing over £1 billion a year in health research through the National Institute for Health Research (NIHR). The NIHR’s research programmes provide a flexible source of funding. Applications are welcome for research into any aspect of human health, including research on the potential effect of loneliness and social isolation on recovery from Cardiovascular disease, cancer and mental health conditions; it is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p><p> </p><p>The NIHR funds a number of research projects exploring the potential effect of loneliness and social isolation on recovery rates from cardiovascular disease, cancer and mental health conditions. Studies range in their focus, from specific vulnerable groups such as the elderly, those with mental health conditions or learning disabilities to the wider impact of social isolation and loneliness on an individual’s physical and mental health and well-being. The NIHR is funding two large studies focussing on improving the quality of life for people with serious mental health conditions, for example a £2.7 million study which includes testing a targeted, intervention to expand social networks of patients with psychosis and a £3.95 million study on immersive virtual reality as a treatment to help individuals with schizophrenia safely and confidently enter everyday situations. A current trial is testing an intervention to improve the physical and mental health outcomes for people who may be isolated due to a range of physical, psychological and social factors. Other studies, whose primary focus is not loneliness or social isolation, explore the effects of these within a broader context, for example a current study is researching the specific late effects of chemotherapy (such as hearing loss) and the associate impact on quality of life, including social isolation.</p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/09/2019 16:05:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	534 label Biography information for Chris Ruane

1142040

registered interest
date	25/07/2019
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	Migraines: Medical Treatments
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 effect on demand for NHS services of self-administering treatments for migraine.
tabling member constituency	Birmingham, Edgbaston
tabling member printed	Preet Kaur Gill
uin	282432
answer	answer is ministerial correction date of answer 04/09/2019 answer text <p>No assessment has made of the potential effect on demand for National Health Service services of self-administering treatments for migraine.</p><p> </p><p>Many patients with migraine can be successfully supported and managed through routine primary and secondary care pain management services and through the use of over-the -counter medicines. However, it is important that patients with the most serious pain management issues are able to access specialist care.</p><p> </p><p>The National Institute for Health and Care Excellence guideline, ‘Headaches: Diagnosis and management of headaches in young people and adults’, published in 2012 and updated in 2015, sets out evidence based best practice for healthcare professionals in the care, treatment and support of people who suffer from migraines.</p><p> </p><p>The guideline includes specific information on the management of migraines to either stop or prevent attacks, such as the prescribing of medications including analgesics, triptans and anti-emetics (as recommended in NICE's guideline on headaches in over 12s).</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 282433 question first answered 04/09/2019 15:59:08 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4603 label Biography information for Preet Kaur Gill