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1138514

registered interest
date	11/07/2019
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	Pregnancy: Prisoners
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 8 July 2019 to Question 272159, what assessment he has made of the merits of the recommendations made in the Birth Companions Report entitled Birth Charter for women in prisons in England and Wales; and if he will make a statement.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	276164
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>No formal assessment has been made.</p><p>NHS England and NHS Improvement are responsible for commissioning healthcare services in prisons in England. It is working closely with Public Health England and Her Majesty’s Prison and Probation Service on a review of how current practice meets the Gender Specific Standards for Women in Prison to improve health and wellbeing, published in March 2019. Standards are included around the care of pregnant and post pregnant women.</p><p>NHS England is developing a mental health perinatal service to ensure maternity services meet the needs of pregnant and post-partum women across the estate.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/07/2019 12:04:16 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	534 label Biography information for Chris Ruane

1138078

registered interest
date	10/07/2019
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	Mental Health Services: Prisons
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 improve the mental health of prisoners.
tabling member constituency	Richmond Park
tabling member printed	Zac Goldsmith
uin	275743
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>NHS England and NHS Improvement are currently working across the entire criminal justice pathway to develop and improve services for offenders with mental health difficulties.</p><p> </p><p>NHS England and NHS Improvement are working with partners to intervene at the earliest opportunity to ensure that offenders receive the right care, in the right place, at the right time.</p><p> </p><p>Liaison and Diversion Services operate in police stations and courts to identify and assess people with vulnerabilities including mental health issues. Where that individual is subsequently sent to prison the receiving prison will have the relevant information of the individual’s mental health needs to inform the reception healthcare staff so that they can implement appropriate interventions as soon as possible after they arrive.</p><p> </p><p>Health services are available across the estate where assessment identifies treatment needs.</p><p> </p><p>The service specification for prison mental health services was reviewed in 2017-18. This review, led by clinicians in conjunction with stakeholders and informed by experts with experience, was published in March 2018, with all new services being commissioned against it from April 2018. The new specification includes the Royal College of Psychiatrists Quality Network for Prison Mental Health Services standards, ensuring equity of quality across the estate.</p><p> </p><p>NHS England and NHS Improvement are currently consulting on revised Transfer and Remission guidance to ensure that new clinically developed timescales are set which ensure timely and appropriate access to mental health treatment in hospital when necessary, in a clinically safe and well managed way. The consultation ends on 19 July 2019.</p><p> </p><p>The NHS Long Term Plan committed to a new service to support people leaving custody to remain engaged with community-based healthcare services. The reconnect service will support continuity of care when people return to the community.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/07/2019 13:33:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

1138079

registered interest
date	10/07/2019
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	Mental Illness: Prisoners
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 proportion of the prison population with mental health problems.
tabling member constituency	Richmond Park
tabling member printed	Zac Goldsmith
uin	275744
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>No estimate has been made of the proportion of the prison health population with mental health problems.</p><p> </p><p>Currently a closed system is used to record clinical data in prisons. The Health and Justice Information Service system, being rolled out between 2018-20, will have the ability to share information with community healthcare services; this is integral to the collection of relevant data that is quality assured and robust.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/07/2019 13:33:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

1138107

registered interest
date	10/07/2019
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	Eating Disorders: 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, when details of the funding arrangements for the planned pilots of four week waiting time standards to access adult community eating disorder services will be made available.
tabling member constituency	Brighton, Pavilion
tabling member printed	Caroline Lucas
uin	275724
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>For adults with an eating disorder, the NHS Long Term Plan has made a renewed commitment that mental health services will grow faster than the overall National Health Service budget, with additional investment worth at least £2.3 billion a year by 2023/24. This includes investment in community-based adult eating disorder services as part of the Plan’s commitment to transform community-based care for adults with mental health needs.</p><p> </p><p>The NHS is also investing over £30 million in services every year to meet and maintain ambitious waiting targets, with 70 community treatment teams now covering the whole of the country so that more children and young people can get eating disorder care closer to home and out of hospital.</p><p> </p><p>As part of a broader programme of work on community based mental health care for adults, alongside work to explore the effectiveness of different approaches to integrated delivery with primary care and starting this summer, NHS England will test four-week waiting times for adult and older adult community mental health teams with selected local areas to build understanding of how best to introduce ambitious but achievable improvements to access, quality of care and outcomes. In doing so, NHS England will also consider the interfaces with specialist community mental health services, particularly where there is an existing evidence base for rapid direct access (such as eating disorders).</p><p> </p><p>Learning from these test sites about the required inputs to increase access and reduce waits will inform future policy discussions about a suitable timeframe for implementation of any future access and waiting time targets, for core community provision or for specialist provision.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 275725 question first answered 15/07/2019 13:30:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3930 label Biography information for Caroline Lucas

1138108

registered interest
date	10/07/2019
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	Mental Health Services: Waiting Lists
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he will announce the (a) scope and (b) timelines of the pilots of four week waiting time standards for adult and older adult community mental health teams, including for adult community eating disorder services.
tabling member constituency	Brighton, Pavilion
tabling member printed	Caroline Lucas
uin	275725
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>For adults with an eating disorder, the NHS Long Term Plan has made a renewed commitment that mental health services will grow faster than the overall National Health Service budget, with additional investment worth at least £2.3 billion a year by 2023/24. This includes investment in community-based adult eating disorder services as part of the Plan’s commitment to transform community-based care for adults with mental health needs.</p><p> </p><p>The NHS is also investing over £30 million in services every year to meet and maintain ambitious waiting targets, with 70 community treatment teams now covering the whole of the country so that more children and young people can get eating disorder care closer to home and out of hospital.</p><p> </p><p>As part of a broader programme of work on community based mental health care for adults, alongside work to explore the effectiveness of different approaches to integrated delivery with primary care and starting this summer, NHS England will test four-week waiting times for adult and older adult community mental health teams with selected local areas to build understanding of how best to introduce ambitious but achievable improvements to access, quality of care and outcomes. In doing so, NHS England will also consider the interfaces with specialist community mental health services, particularly where there is an existing evidence base for rapid direct access (such as eating disorders).</p><p> </p><p>Learning from these test sites about the required inputs to increase access and reduce waits will inform future policy discussions about a suitable timeframe for implementation of any future access and waiting time targets, for core community provision or for specialist provision.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 275724 question first answered 15/07/2019 13:30:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3930 label Biography information for Caroline Lucas

1138123

registered interest
date	10/07/2019
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	NHS: Amazon
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 Government's announcement that NHS health information will be made available through Amazon’s Alexa, who will have ownership of data generated through that collaboration; what estimate he has made of the financial value of that collaboration to (a) the NHS and (b) Amazon; and for what reasons that collaboration is exclusively with Amazon and not other providers of voice-activated searches.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	275751
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The agreement signed between the Department and Amazon is clear that none of the data generated will be shared with third parties; that it will not be used for selling products or making product recommendations to Amazon users; nor is it building any form of health profiles on Amazon customers.</p><p>This is a mutually beneficial collaboration that will enable greater numbers of people to access information accredited by the National Health Service, helping to put people in control of their own healthcare. The information being provided to users of Alexa devices asking questions is already freely available through the NHS website. This is just an alternative mechanism for delivering that information.</p><p>The agreement with Amazon is non-exclusive and we want to work with other organisations to arrange for the content to be provided on other home devices.</p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/07/2019 14:10:35 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4244 label Biography information for Jonathan Ashworth

1138124

registered interest
date	10/07/2019
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	NHS: Amazon
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 announcement that NHS health information will be available through Amazon’s Alexa, what assessment his Department has made of the effectiveness of Alexa for identifying health information; what safeguards for patient safety are in place to monitor the effectiveness of Alexa; whether the information provided by Alexa that originates from NHS-verified health information be clearly differentiated from information that originates from other non-verified sources; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	275752
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The information provided by Amazon Alexa in response to questions asked by users is taken directly from the National Health Service website. It is an alternative mechanism for accessing professional NHS-verified health information that is already freely available on the NHS website.</p><p>The service provided by Amazon will not provide any form of diagnosis or advice. It is intended to provide NHS-verified information on the symptoms and treatments for different medical conditions using the exact wording from the NHS website.</p><p>When a response is given by Alexa to a question from a user, it will be preceded with the phrase, “according to the NHS website…”, which clearly differentiates it from any other source of information.</p><p>NHS Digital is working closely with Amazon to assess the effectiveness of the service. The algorithm used by Amazon is still learning and will be updated continuously to learn how people are asking questions about health conditions.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/07/2019 14:11:16 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4244 label Biography information for Jonathan Ashworth

1138137

registered interest
date	10/07/2019
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	NHS: Software
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 computers in the NHS that use the Windows XP operating system.
tabling member constituency	Leigh
tabling member printed	Jo Platt
uin	275828
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>As of July 2019, approximately 2,300 National Health Service computers are using Windows XP from a total of around 1.4 million. This equates to 0.16% of the NHS estate. We are supporting NHS organisations to upgrade their existing Microsoft Windows operating systems, allowing them to reduce potential vulnerabilities and increase cyber resilience.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/07/2019 14:07:38 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4673 label Biography information for Jo Platt

1138143

registered interest
date	10/07/2019
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	Healthy Start Scheme
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he plans to start the consultation on Healthy Start vouchers.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	275808
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The Department is considering a range of options for consulting on Healthy Start vouchers. The consultation has been postponed until we are in a better position to identify further opportunities to improve the Healthy Start Scheme.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/07/2019 14:13:30 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1138147

registered interest
date	10/07/2019
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	Mental Health Services: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether postgraduate training level seven will be fully funded and mandatory for people working therapeutically with children and young people on mental health issues.
tabling member constituency	High Peak
tabling member printed	Ruth George
uin	275819
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Health Education England (HEE) is responsible for commissioning of training for the National Health Service workforce and refer to their plan ‘Stepping Forward to 2020/21: Mental Health Workforce Plan for England’.</p><p>All Level 7 postgraduate training for people working therapeutically with children and young people commissioned by HEE is fully funded.</p><p>HEE cannot mandate training as it is the responsibility of the professional regulators and employers. HEE can define the curriculum for the training but cannot control the practice.</p><p>All training commissioned by HEE for people working therapeutically with children and young people has a set of learning objectives that are underpinned by both evidence based practice and practice based evidence as it is overseen and delivered by senior members of professions pertinent to the practice of psychological therapy.</p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 275820 question first answered 16/07/2019 12:05:19 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4662 label Biography information for Ruth George