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809873

registered interest
date	19/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Chronic Fatigue Syndrome: Research
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent research his Department has commissioned on the diagnosis and treatment of ME.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	120493
answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>The Department, through the National Institute for Health Research, has recently commissioned one project on the treatment of symptoms of Myalgic Encephalomyelitis (ME). Professor Esther Crawley, of the University of Bristol, was awarded funding for research entitled, ‘Investigating the effectiveness and cost effectiveness of using FITNET to treat paediatric CFS/ME in the UK’. This project began in May 2016. Full details of the research can be found at:</p><p> </p><p><a href="https://www.journalslibrary.nihr.ac.uk/programmes/hta/14192109/#/summary-of-research" target="_blank">https://www.journalslibrary.nihr.ac.uk/programmes/hta/14192109/#/summary-of-research</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/12/2017 14:31:09 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

804278

registered interest
date	11/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether he has commissioned research into potential changes in the effectiveness of health visitors and health visiting since the relocation of those services into his Department's responsibility.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	118482
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Since 1 October 2015 local authorities have had responsibility for the commissioning of public health services for children aged zero to five (including health visitor services).</p><p> </p><p>The Department commissioned Public Health England to undertake two reviews focused on the transfer of health visiting services to local authority control: a review of the mandated elements of service, and a programme benefits realisation review.</p><p> </p><p>The Review of mandated services demonstrated widespread support to continue mandating the provision of health visitor reviews to families, to ensure that all families are given support at critical times and those families needing more help are identified and early interventions put in place. The report on the review of mandation for the universal health visiting service can be viewed at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/universal-health-visiting-service-mandation-review" target="_blank">https://www.gov.uk/government/publications/universal-health-visiting-service-mandation-review</a></p><p> </p><p>The Benefits Realisation Review demonstrated statistically significant improvements in access, parent reported experience, a number of child health outcomes and a contribution to addressing inequalities. This report was sent directly to local authorities; a copy is attached.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/12/2017 17:45:22 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name PHE Benefits Realisation Report.pdf title PHE report
tabling member	252 label Biography information for Dr David Drew

802185

registered interest
date	06/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Incontinence: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will instruct NHS trusts and Clinical Commissioning Groups to start compiling data on the numbers of children with incontinence problems.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	117872
answer	answer is ministerial correction date of answer 14/12/2017 answer text <p>There are no plans to instruct National Health Service trust and clinical commissioning groups to collect data on the children with incontinence problems.</p><p> </p><p>However, as part of business planning for 2018/19, Public Health England is reviewing whether the new section dedicated to child and maternal health on their Fingertips digital platform would be a suitable place to make data about childhood continence available at a local level.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 14/12/2017 14:29:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

802382

registered interest
date	06/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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, what plans he has to increase the level of funding allocated by his Department to the Child and Adolescent Mental Health Service.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	118069
answer	answer is ministerial correction date of answer 14/12/2017 answer text <p>Investment in mental health is increasing, and being spent and this Government has prioritised mental health for children and young people. We are making an additional £1.4 billion available over 2015/16 – 2019/20 which is being used to expand and improve mental health services for children and young people.</p><p> </p><p>The recently published Transforming Children and Young People’s Mental Health Provision: a Green Paper on 4 December 2017 contains proposals to further increase early intervention and support for children and young people experiencing or at risk of mental health problems. The proposals as set out in the Green Paper on children and young people’s mental health would cost £215 million over the next three years towards the creation of Mental Health Support Teams, piloting a four week waiting time standard and rolling out mental health first aid training to primary schools.</p><p> </p><p>We will make funding available to fund the full cost of the final proposals. We will also provide up to £15-20 million each year from 2019 to cover costs of training Designated Senior Leads in schools and colleges, until all schools and colleges have had the chance to train a lead (we expect total funding to be up to £95 million).</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 14/12/2017 14:39:01 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

795586

registered interest
date	27/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Suicide: Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he plans to take to reduce the number of suicides among young people; and what discussions he has had with mental health trusts on that matter.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	116006
answer	answer is ministerial correction date of answer 05/12/2017 answer text <p>We updated the Cross-Government Suicide Prevention Strategy earlier this year to strengthen delivery of its key areas for action which includes tailoring approaches to improve the mental health of specific groups such as children and young people. We expanded the scope of the Suicide Prevention Strategy to address self-harm as an issue in its own right and one that predominantly affects young people under 25. The Government is investing £1.4 billion up to 2020 to improve mental health services for children and young people, including eating disorders. We remain committed to implementing the vision set out in Future in Mind and we will publish a joint health and education green paper on children and young people’s mental health very soon to set out how we will improve early intervention and prevention of mental ill health across the system.</p><p> </p><p>The Department of Health and Department for Digital, Culture, Media, and Sport continue to work together to address the impact of the internet and social media on the mental health of children and young people to both protect young people online and to harness the benefits online platforms can bring in supporting young people to maintain good mental wellbeing. This includes working with online providers to improve safety and to tackle harmful content online.</p><p> </p><p>We are ensuring that every local area will have a multi-agency suicide prevention plan in place by the end of the year which means all local services, including voluntary and charitable sector organisations, are working together to implement tailored approaches to reducing suicides in their communities. We published guidance to local authorities to set out how local suicide prevention plans should drive national policy locally which includes addressing the key areas for action in the national strategy.</p><p> </p><p>We continue to fund, in partnership with the Samaritans, the National Suicide Prevention Alliance which brings together a wide range of suicide prevention organisations in the voluntary and charitable sector to support delivery of the National Suicide Prevention Strategy. The Alliance includes organisations that work specifically with children and young people to prevention suicide and self-harm.</p><p> </p><p>Departmental Ministers meet and work with a wide range of organisations across public health, the NHS and social care to progress the ambition to reduce the number of suicides in England by 10% by 2020/21. My Rt. hon. Friend the Secretary of State for Health recently spoke at the launch of the Zero Suicide Alliance which is a partnership between Mersey Care NHS Foundation Trust and organisations in the voluntary and charitable sector to raise suicide prevention awareness across the system and aims to train 1 million people in suicide prevention.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/12/2017 13:49:08 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

781406

registered interest
date	31/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Professions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he has taken to expand the number of health visitors and school nurses.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	110679
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>Since April 2013, local authorities (LAs) have been responsible for public health locally, including commissioning public health services for school aged children, namely school nursing services and the Healthy Child Programme. Additionally, from 1 October 2015, LAs took over responsibility for commissioning public health services for children aged zero to five from NHS England. LAs are mandated to provide or secure the five universal health visitor reviews.</p><p> </p><p>It is for local authorities to assess the health needs of their populations and commission the appropriate services and workforce. All commissioning should be based on a robust Joint Strategic Needs Assessment and supported by local workforce plans. Commissioning decisions are for local discretion and as such there will be variations.</p><p> </p><p>Health Education England is ensuring sustainable development of the workforce and there are presently over 800 health visitor student training places commissioned.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/11/2017 14:35:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

781422

registered interest
date	31/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors: Maternity Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what measures he plans to put in place to ensure standards of health visiting are maintained when responsibility for such visitors is transferred from the NHS to local authorities.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	110678
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>Health visitors and school nurses lead and co-ordinate delivery of the Healthy Child Programme (0-19). Health visitors and school nurses or Specialist Community Public Health Nurses are qualified nurses or midwives with an additional specialist graduate level education in community health and health needs. Local authorities (LAs) took over responsibility for commissioning public health services for children aged zero to five from NHS England from 1 October 2015. LAs are mandated to provide or secure the five universal health visitor reviews.</p><p> </p><p>The responsibility for standards for health visitors rests with the Nursing and Midwifery Council (NMC), through their code of practice and entry to part 3 of NMC register. The responsibility for service standards for health visiting services rests with the LA as the commissioner and Care Quality Commission as the regulator.</p><p> </p><p>The Department and Public Health England (PHE) have produced guidance to support both commissioners and local providers including Guidance to support the commissioning of the Healthy Child Programme 0-19: Health Visiting and School Nursing services, available to view here:</p><p><a href="https://www.gov.uk/government/publications/healthy-child-programme-0-to-19-health-visitor-and-school-nurse-commissioning" target="_blank">https://www.gov.uk/government/publications/healthy-child-programme-0-to-19-health-visitor-and-school-nurse-commissioning</a></p><p>PHE and the Department continue to work with the Local Government Association, professional bodies, and locally through PHE Centres to share evidence and guidance that allows LAs to make the best decisions to meet local needs.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/11/2017 14:33:57 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

781423

registered interest
date	31/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors: Maternity Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to use health visitors to reduce health inequalities by (a) increasing the amount and time duration of breast feeding and (b) extending early educational intervention.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	110677
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>Local authorities have a duty to improve the health of their populations through the use of the public health grant. Public Health England (PHE) supports this through evidence to address health inequalities and guidance to professionals.</p><p> </p><p>The six High Impact Areas for Early Years focus on key areas where health visitors have a significant impact on health and wellbeing and improving outcomes for children, families and communities. The guidance includes promotion of breastfeeding and health, wellbeing and development of the child aged two. Further information on the Six High Impact Areas is available to view here:</p><p><a href="https://www.gov.uk/government/publications/commissioning-of-public-health-services-for-children" target="_blank">https://www.gov.uk/government/publications/commissioning-of-public-health-services-for-children</a></p><p>PHE works with local services to create breastfeeding friendly communities, with midwives and health visitors to promote best practice, and, through our Start4Life social marketing programme, to provide parents with trusted National Health Service advice.</p><p> </p><p>PHE has developed an infant feeding commissioning resource in partnership with Unicef to support local authorities in the delivery of a comprehensive approach to the commissioning of services that protect, promote and support breastfeeding. PHE also shares innovative approaches for supporting breastfeeding.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/11/2017 15:00:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

776155

registered interest
date	23/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether he has made an assessment of the potential merits of the future role of health visiting including reference to the alleviation of poverty for the new-born population.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	109200
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>No assessment has been made on this. Health visitors do provide support to families most in need through signposting them to schemes and organisations that can assist their needs, for example families on low income will be signposted towards the Healthy Start Scheme.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 31/10/2017 11:47:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

776157

registered interest
date	23/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with the Local Government Association on the future role of health visitors.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	109198
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p><strong></strong>My Rt. hon. Friend the Secretary of State for Health regularly meets with stakeholders to discuss a variety of topics.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 31/10/2017 11:46:09 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew