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1128562

registered interest
date	23/05/2019
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	Suicide
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 15 May 2019 to Question 254804, when the National Suicide Prevention Strategy will be published.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	257737
answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>The National Suicide Prevention Strategy was first published in 2012 as the cross-Government outcomes strategy, ‘Preventing Suicide in England’.</p><p>We have published a number of progress reports since then with the third progress report, published in January 2017, updating the 2012 strategy in a number of areas. The latest progress report was published in January 2019 together with a cross-Government suicide prevention workplan which sets out an ambitious programme across central and local government and delivery agencies to reduce suicide. These documents are available at the following link:</p><p><a href="http://www.gov.uk/government/collections/suicide-prevention-resources-and-guidance" target="_blank">www.gov.uk/government/collections/suicide-prevention-resources-and-guidance</a></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/06/2019 13:44:23 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1128594

registered interest
date	23/05/2019
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	Steroid Drugs: 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 (a) health risks and (b) psychiatric side effects of oral corticosteroid treatments.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	257661
answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>Oral corticosteroids have been used for many years in the treatment of a wide range of illnesses including allergic and inflammatory diseases, immune reactions and certain cancers, and for replacement therapy where the body does not produce enough cortisol.</p><p>Corticosteroids are life-saving medicines but have a wide range of side effects, including psychiatric side effects. These can include serious effects such as suicidal thoughts, psychotic reactions and behavioural disturbances. Symptoms typically emerge within a few days or weeks of starting the treatment. Patients and/or their carers should be warned by the prescribing physician that potentially severe psychiatric adverse reactions may occur with oral corticosteroids and encouraged to seek medical advice if any worrying psychological symptoms develop.</p><p>Other side effects of corticosteroids, particularly when taken long-term, include increased susceptibility to infection, disturbances of the nervous system, osteoporosis, muscle weakness, suppression of the adrenal glands, stomach ulcers and changes to the eye (glaucoma and cataract).</p><p>A detailed list of the side effects known to occur with corticosteroids is available in the product information for prescribers (the Summary of Product Characteristics and Patient Information Leaflet which are produced by the manufacturer and authorised by the Medicines and Healthcare products Regulatory Agency (MHRA) for each product. Key side effects are also detailed in the British National Formulary. As with all medicines, the safety of corticosteroids is kept under review by the MHRA and product information is updated and warnings issued when necessary.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/06/2019 16:47:11 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1436 label Biography information for Paul Farrelly

1128621

registered interest
date	23/05/2019
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	Mental Health Services: Regulation
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 provide an update on progress towards recommendation 54 in the Five Year Forward View for Mental Health on introducing the regulation of psychological therapy services.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	257817
answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>Recommendation 54 in the Five Year Forward View for Mental Health states that this Department should consider how to introduce the regulation of psychological therapy services, which are not currently inspected unless they are provided within secondary mental health services.</p><p>The Government has accepted all of the recommendations in the Five Year Forward View for Mental Health, including Recommendation 54. We are currently considering how to implement this recommendation.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/06/2019 14:14:49 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4666 label Biography information for Dr Paul Williams

1128304

registered interest
date	22/05/2019
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	Surgical Mesh Implants
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 Provisional Monthly Hospital Episode Statistics for Admitted Patient Care, Outpatient and Accident and Emergency data April 2018 - March 2019 (M12), what estimate he has made of the number of procedures for stress urinary incontinence and prolapse using mesh carried out during the period of high vigilance restriction which paused such surgery.
tabling member constituency	Pontypridd
tabling member printed	Owen Smith
uin	257556
answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>NHS Digital publishes data on finished consultant episodes where a procedure for treatment of urogynaecological prolapse or stress urinary incontinence (insertion) is recorded.</p><p>In year commencing April 2018, data is available up to March 2019. The March 2019 data is provisional.</p><p>The most recent provisional Hospital Episodes Statistics data demonstrates that the number of procedures for insertion from April 2018 is 8,931 in total for all procedures, vaginally inserted mesh or otherwise.</p><p>For vaginally inserted mesh, to which the period of high vigilance restriction relates, there have been approximately 31 total procedures up to March 2019 for the introduction of:</p><p>- tension-free vaginal tape;</p><p>- transobturator tape;</p><p>- vaginal tape NEC;</p><p>- the repair of vault of vagina with mesh using vaginal approach;</p><p>This figure excludes data for the month of July, as guidance on the Pause was issued on 20 July to Regional Directors and Trust Medical Directors. For July, the total figure for insertions is 70, though this includes a period before the Pause came into effect.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/06/2019 16:44:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4042 label Biography information for Owen Smith

1128413

registered interest
date	22/05/2019
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	Life Expectancy
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 he has made of the reasons for regional disparities in life expectancy.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	257601
answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>Public Health England’s Segment Tool provides data on what causes of death are driving inequalities in life expectancy at both regional and local authority level. For regions where life expectancy is lower than England, the tool shows the causes of death which are contributing to this gap. This can be viewed at the following link:</p><p><a href="https://fingertips.phe.org.uk/profile/inequality-tools" target="_blank">https://fingertips.phe.org.uk/profile/inequality-tools</a></p><p>The NHS Long Term Plan has tackling health inequalities as a core focus.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/06/2019 13:40:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1128419

registered interest
date	22/05/2019
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	Perinatal Mortality
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 he has made of trends in rates of perinatal mortality in (a) the UK and (b) Slough constituency.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	257604
answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>The Office for National Statistics (ONS) report annual statistics on perinatal mortality. The latest release of these data show that in England and Wales, the perinatal mortality rate in 2016 was 6.6 deaths per 1,000 births. This is similar to 2015 when there was a rate of 6.5 deaths per 1,000 births. There has been a general decline in national perinatal mortality rates in recent years; for example, the rate in 2010 was 7.4 deaths per 1,000 births. Data specifically for Slough have only recently begun to be published by the ONS. Therefore, it is not possible to make an assessment of the trends in perinatal mortality in the Slough constituency at this stage. However, in 2016 there were 29 perinatal deaths recorded in Slough representing a perinatal mortality rate of 11 deaths per 1,000 births.</p><p>The Government remain committed to the national ambition to halve the 2010 rates of stillbirths, neonatal and maternal deaths and brain injuries that occur during or soon after birth by 2025 and to achieve at least a 20% reduction in these rates by 2020. Further information about the measures in place to achieve the ambition can be found in the NHS Long Term Plan at the following link:</p><p><a href="https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-long-term-plan.pdf" target="_blank">https://www.longtermplan.nhs.uk/wp-content/uploads/2019/01/nhs-long-term-plan.pdf</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/06/2019 14:10:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1128427

registered interest
date	22/05/2019
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	Eating Disorders
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 steps his Department has taken to improve outpatient waiting times for adults suffering from an eating disorder.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	257505
answer	answer is ministerial correction date of answer 05/06/2019 answer text <p>The Government is committed to reducing waiting times for people of all age groups who suffer with an eating disorder. Within the NHS Long Term Plan ambitions, the Clinical Review of NHS Access Standards aims to “test four-week waiting times for adult and older adult community mental health teams, with selected local areas”. This will form part of wider testing of the new and integrated models of primary and community mental health care.</p><p>The recently-published ‘Guidance for operational and activity plans: assurance statements’, to accompany the NHS Planning Guidance for 2019/20, makes clear that these new models will include services for adults with eating disorders.</p><p>In 2019-20, NHS England will begin funding a number of pilot sites for these new models across the country, including services for adults with eating disorders. Selected sites will work towards maximising access and minimising waits to improve patient care. Sites will be selected within regions over the coming months and will be given pump prime funding.</p><p>In parallel to this, NHS England is rolling out the New Care Models in Mental Health programme, delegating specialised commissioning budgets for adult eating disorder inpatient services to provider collaboratives. These collaboratives will have the power to transform pathways of care and maximise access to dedicated community-based provision to avoid need for admissions as far as possible, building on the success of pilot sites where this work is already underway.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/06/2019 14:12:54 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1436 label Biography information for Paul Farrelly