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1055803

registered interest
date	06/02/2019
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	Parliamentary and Health Service Ombudsman
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 the Government is taking to ensure the effectiveness of the Parliamentary and Health Service Ombudsman.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	217538
answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>The Parliamentary and Health Service Ombudsman carries out independent investigations about unfair or improper or poor service by United Kingdom Government departments and their agencies, and the National Health Service in England. The Ombudsman is independent of Government, accountable directly to Parliament through the Public Administration and Constitutional Affairs Committee.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 11/02/2019 15:08:49 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1055867

registered interest
date	06/02/2019
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	Down's Syndrome
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 monitor the effect of non-invasive pregnancy testing on the number of babies born with Down’s syndrome.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	217541
answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>The national evaluative roll out for non-invasive pregnancy testing (NIPT) as a contingent screening test is yet to be implemented into the NHS Fetal Anomaly Screening Programme (FASP). Therefore, no information is held on the effect of NIPT on the number of babies born with Down’s syndrome.</p><p> </p><p>Once NIPT is rolled out, data on the choices women make regarding screening and/or diagnosis will be collected. Data will also be collected on the pregnancy outcomes of women who choose to have screening, including babies born with Down’s syndrome.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 11/02/2019 15:02:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1055868

registered interest
date	06/02/2019
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reason NICE in developing its guidelines on termination of pregnancy has not included an assessment of the physical, emotional and economic effect of premature births and their correlation with previous abortions.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	217542
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>The Department referred the topic of termination of pregnancy to the National Institute for Health and Care Excellence (NICE) for the development of a guideline on service delivery of termination of pregnancy. NICE, as part of the planning for this guideline explored the views of stakeholders on what would be most useful to focus on through a workshop, meetings and through a scope consultation. The final scope of the termination of pregnancy guideline was based on the input that NICE received from the stakeholders that engaged with NICE.</p><p> </p><p>The scope of the termination of pregnancy guideline clearly sets out that the NICE guideline is for women who have already decided to have a termination of pregnancy or have undergone a life-saving termination of pregnancy.</p><p> </p><p>NICE is looking at the evidence for common harms such as, haemorrhage and infection where there may be evidence of a difference in long-term outcomes. NICE will also be considering what information women who have requested a termination of pregnancy be given before they have the procedure if the legal grounds are met.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 217543 question first answered 14/02/2019 12:06:28 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1055869

registered interest
date	06/02/2019
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reason NICE has omitted from its new guidance on termination of pregnancy an assessment of the the long-term effect of abortion on the (a) mortality, (b) future premature births, (c) infertility, (d) mental illness and (e) other health issues of women (i) under 25 and (ii) of other ages.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	217543
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>The Department referred the topic of termination of pregnancy to the National Institute for Health and Care Excellence (NICE) for the development of a guideline on service delivery of termination of pregnancy. NICE, as part of the planning for this guideline explored the views of stakeholders on what would be most useful to focus on through a workshop, meetings and through a scope consultation. The final scope of the termination of pregnancy guideline was based on the input that NICE received from the stakeholders that engaged with NICE.</p><p> </p><p>The scope of the termination of pregnancy guideline clearly sets out that the NICE guideline is for women who have already decided to have a termination of pregnancy or have undergone a life-saving termination of pregnancy.</p><p> </p><p>NICE is looking at the evidence for common harms such as, haemorrhage and infection where there may be evidence of a difference in long-term outcomes. NICE will also be considering what information women who have requested a termination of pregnancy be given before they have the procedure if the legal grounds are met.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 217542 question first answered 14/02/2019 12:06:28 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1055870

registered interest
date	06/02/2019
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	Spina Bifida: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether painkiller will be administered to unborn babies with spina bifida who undergo spinal surgery; and at what age those unborn babies will undergo that surgery.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	217544
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>Spinal surgery for spina bifida for babies in the womb is among new, innovative treatments that will be routinely available on the National Health Service for the first time.</p><p> </p><p>The procedure for unborn children with spina bifida, whose spine and spinal cord do not develop properly, allows pregnant women to be treated closer to home and their families.</p><p> </p><p>Pain relief for the unborn baby will be delivered intra-operatively. This is administered before the fetal surgery, after the uterus is opened. The fetus will be monitored during the procedure by ultrasound to check the fetal heart rate. The surgery takes place between 20 and 26 weeks of gestation.</p><p> </p><p>This proposed new treatment was independently assessed for its clinical benefit and cost by the Clinical Priorities Advisory Group comprising doctors, health experts and patient representatives.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 14/02/2019 12:08:12 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1055872

registered interest
date	06/02/2019
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
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 commissioned in the last five years into the long-term effect of abortion on (a) future miscarriages, (b) premature births, (c) suicide and (d) other health issues among women (i) under 25 and (ii) of other ages.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	217545
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>The Department funds research on health and social care through the National Institute for Health Research. The Department has not commissioned any such studies directly concerned with the long-term effects of abortion. However, a study currently underway, aims to provide the research and practical evidence base to deliver quality improvement in preconception care, to prevent unplanned pregnancies and abortion, and to mitigate the adverse impacts of unplanned pregnancies. This study is due to report in December 2021.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 14/02/2019 12:07:16 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1055935

registered interest
date	06/02/2019
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
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 an assessment of the reasons for the increase in the rate of abortions among women aged 30 to 34 in the last 10 years.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	217569
answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>The abortion rate for women aged 30-34 has increased steadily from 15.1 per 1,000 women in 2007 to 18.5 in 2017. This is a complex area and overall increases in conception rates for women aged 30-34 need to be taken into account in any assessment. We continue to monitor this trend.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 11/02/2019 14:59:17 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1056033

registered interest
date	06/02/2019
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: Social Media
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 the Government is taking to tackle the effect of social media on the mental health of young people.
tabling member constituency	Woking
tabling member printed	Mr Jonathan Lord
uin	217581
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>The Government recognises that social media can be a force for good, supporting education and helping people make positive connections with other people. However, as with most innovations, the Government is committed to taking action to ensure the risks of social media, particularly on the mental health of young people.</p><p> </p><p>On 7 February, the United Kingdom Chief Medical Officers published their independent systematic map of evidence on screen and social media use in children and young people. They also published advice for parents and carers, giving tips on how to have a healthy balance with screen time. This is based on evidence around activities that are important for healthy child development such as sleep, exercise and education.</p><p> </p><p>We want the UK to be the safest place to be online. The Government wants to work with internet and social media providers to achieve this, and we are clear we will take tougher action were needed. The Department of Health and Social Care has been working closely alongside colleagues at the Department for Digital, Culture, Media and Sport on their upcoming Online Harms White Paper. This White Paper will set out a range of legislative and non-legislative measures detailing how the Government will tackle online harms and set clear responsibilities for tech companies to keep UK citizens safe.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 14/02/2019 12:04:46 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4090 label Biography information for Mr Jonathan Lord

1056044

registered interest
date	06/02/2019
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: Foreign Nationals
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 free abortions were performed on the NHS for citizens from (a) other EU countries and (b) non-EU countries under reciprocal healthcare arrangements in each of the last five years.
tabling member constituency	Gainsborough
tabling member printed	Sir Edward Leigh
uin	217464
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>Abortions provided to women from other European Union countries and non-EU countries are funded privately. The European Health Insurance Card cannot be used for an abortion, unless it is an urgent matter which cannot wait until the person can return home.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 217465 question first answered 14/02/2019 12:09:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	345 label Biography information for Sir Edward Leigh

1056045

registered interest
date	06/02/2019
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	Medical Treatments: Innovation
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 page 77 of the NHS Long Term Plan, what criteria will determine which medical technology innovations are ready for adoption; and what plans are being put in place for the individualised support described in that document.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	217587
answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>As part of the NHS Long Term Plan, NHS England sets out accelerating the uptake of proven, affordable innovations through a new funding mandate for diagnostics, devices and digital innovation. This will apply to innovations that the National Institute for Health and Care Excellence (NICE) has assessed as cost-saving. NICE will increase the number of evaluations for these products, and these assessments will form the basis of the ‘ready for spread’ status.</p><p> </p><p>Further work to develop implementation plans on criteria and the individualised support described in the NHS Long Term Plan is currently underway, and will be published later this year.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 11/02/2019 14:54:11 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4244 label Biography information for Jonathan Ashworth