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938558

registered interest
date	11/07/2018
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	Medicines and Medical Devices Safety Independent Review: 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, pursuant to the Written Statement of 10 July 2018 on Update on the Independent Medicines and Medical Devices Safety Review, HCWS841, what the (a) names and (b) objectives are of the clinicians on the clinical advisory group for surgical mesh.
tabling member constituency	Pontypridd
tabling member printed	Owen Smith
uin	163087
answer	answer is ministerial correction date of answer 16/07/2018 answer text <p>The name of the clinicians on the clinical advisory group for surgical mesh are:</p><p> </p><p>Professor Keith Willett – National Medical Director for Acute Care and Emergency Preparedness, NHS England</p><p>Professor Jonathan Duckett – Chair – British Society of Urogynaecology (BSUG)</p><p>Mr Chris Harding - Chairman – British Association of Urological Surgeons (BAUS) subsection of female, neurological and urodynamic urology</p><p>Mr Roland Morley – President, Urology section of The Royal Society of Medicine; Chairman, Specialist Advisory Committee on Urology (United Kingdom)</p><p>Mr Nigel Acheson – Regional Medical Director, NHS England</p><p>Mr Alfred Cutner – NHS England Specialised Commissioning Clinical Reference Group</p><p>Dr Heather Payne – Senior Medical Officer for Maternal and Child Health (Wales)</p><p> </p><p>The objectives of the Clinical Advisory Group, with subject matter expert members representing NHS England, BSUG and BAUS, are to:</p><ol><li>Recommend the mesh/tape procedures included in the high vigilance restriction.</li><li>Recommend and justify any mesh/tape procedures that should be excluded from the restriction, with or without increased vigilance.</li><li>Recommend any alternative non-mesh procedures that should be subject to increased vigilance, given the change in practice caused by the pause on mesh/tape use.</li><li>Advise on high vigilance processes which must be followed by NHS and private hospitals for any mesh/tape surgery defined in (A) deemed clinically essential during the pause, and for the unrestricted procedures defined in (B) and (C). This includes:</li></ol><p>- Ensuring the appropriateness of the procedure and exclusion of alternatives.</p><p>- Ensuring that all appropriate surgical options have been offered, including where secondary referral would be required. Local unit capability should not restrict treatment options;</p><p>- Ensuring that appropriate information and consenting processes are in place in all cases;</p><p>- A process for provider trust Medical Director’s sign-off of the surgeon’s competence; and</p><p>- A process for documenting and registering the procedures.</p><p>5.Recommend how trusts and general practitioners should support patients with advice, including patients newly referred or diagnosed, patients on the waiting list, and patients who have had previous mesh surgery who may have concerns.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/07/2018 17:08:31 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4042 label Biography information for Owen Smith

938559

registered interest
date	11/07/2018
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	Medicines and Medical Devices Safety Independent Review
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 Written Statement of 10 July 2018 on Update on the Independent Medicines and Medical Devices Safety Review, HCWS841, what estimate he has made of the number of potential exceptions there will be to the pause in the use of mesh for stress urinary incontinence; and how exceptions to the suspension will be determined.
tabling member constituency	Pontypridd
tabling member printed	Owen Smith
uin	163088
answer	answer is ministerial correction date of answer 16/07/2018 answer text <p>The pause in the use of vaginally inserted mesh to treat prolapse and tape/sling used to treat stress urinary incontinence will be implemented through a high vigilance programme of restricted practice. This is not a blanket ban as for some patients this can be a last treatment option for a debilitating condition.</p><p> </p><p>These operations will therefore be available for carefully selected patients based on a multidisciplinary team decision, where the patient understands the risks involved and has provided informed consent. It is therefore not possible at this stage to quantify the number of exceptions that will take place.</p><p> </p><p>This is similar to the position in Scotland, where mesh used to treat stress urinary incontinence and pelvic organ prolapse has been temporarily suspended, but is allowed in certain tightly controlled circumstances.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/07/2018 17:18:09 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4042 label Biography information for Owen Smith

938560

registered interest
date	11/07/2018
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	Medicines and Medical Devices Safety Independent Review
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 Written Statement of 10 July 2018 on Update on the Independent Medicines and Medical Devices Safety Review, HCWS841, if he will publish in detail the Government’s plan for a high vigilance programme of restricted practice for the use of surgical mesh to treat stress urinary incontinence.
tabling member constituency	Pontypridd
tabling member printed	Owen Smith
uin	163089
answer	answer is ministerial correction date of answer 16/07/2018 answer text <p>On 10 July, alongside the Government’s announcement of a pause in the use of sling/tape to treat stress urinary incontinence and vaginally inserted mesh to treat prolapse, NHS England and NHS Improvement wrote to provider Chief Executives and Medical Directors, advising on implementation of the pause through a high vigilance programme of restriction. It was advised that, for the majority of patients, a delay until the high vigilance programme ceased would be the preferred option. This information is in the public domain and available on the NHS Improvement website at the following link:</p><p> </p><p><a href="https://i.emlfiles4.com/cmpdoc/9/7/2/8/1/1/files/47633_mesh-letter-to-acute-ceos-and-mds.pdf" target="_blank">https://i.emlfiles4.com/cmpdoc/9/7/2/8/1/1/files/47633_mesh-letter-to-acute-ceos-and-mds.pdf</a></p><p> </p><p>A Clinical Advisory Group has been formed, with subject matter expert members representing NHS England, British Society of Urogynaecology and British Association of Urological Surgeons. The Clinical Advisory Group is developing clinical recommendations for implementation following the initial advice given to providers. NHS England will ensure that these clinical recommendations are communicated to providers once they are agreed.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/07/2018 17:09:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4042 label Biography information for Owen Smith

938573

registered interest
date	11/07/2018
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	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 steps his Department has taken to promote parity of treatment of mental and physical health conditions.
tabling member constituency	Windsor
tabling member printed	Adam Afriyie
uin	163060
answer	answer is ministerial correction date of answer 19/07/2018 answer text <p>The Government enshrined parity of esteem in physical and mental health in law in the Health and Social Care Act 2012. The NHS Constitution now states that the National Health Service “is designed to improve, prevent, diagnose and treat both physical and mental health problems with equal regard”.</p><p> </p><p>The Department is investing in mental health to expand and improve services via the Mental Health Five Year Forward View. Spending on mental health increased to a planned £11.86 billion in 2017/18. NHS England’s Mental Health Investment Standard requires the local NHS clinical commissioning groups to increase mental health investment by at least the same proportion as overall allocations.</p><p> </p><p>The Government’s mandate to NHS England for 2018-19 states that clinical commissioning groups should show “measurable progress towards the parity of esteem for mental health enshrined in the NHS Constitution, particularly for those in vulnerable situations”.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/07/2018 14:50:59 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1586 label Biography information for Adam Afriyie

938574

registered interest
date	11/07/2018
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: First Aid
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 his Department has taken to promote mental health first aid.
tabling member constituency	Windsor
tabling member printed	Adam Afriyie
uin	163061
answer	answer is ministerial correction date of answer 19/07/2018 answer text <p>The Department has committed to delivering mental health “first aid” training to a member of staff in all schools across England by the end of this Parliament.</p><p> </p><p>The programme to deliver Youth Mental Health First Aid training to secondary school staff is in its second year of delivery. We have so far invested over £450,000 in the programme, and have delivered the training to staff in over 1,300 secondary schools. We expect to reach 2,000 schools by the end of 2018/19.</p><p> </p><p>The Department has set aside a further £5 million to deliver mental health first aid and awareness training to a member of staff in all primary schools across England by the end of this Parliament.</p><p> </p><p>In addition to this, the Department is working with Public Health England to launch a £15 million national campaign in autumn 2018 to train 1 million people in mental health awareness and first aid.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/07/2018 14:49:22 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1586 label Biography information for Adam Afriyie

938649

registered interest
date	11/07/2018
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: Misoprostol
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 potential merits of approving the home as a place for pregnant women to take misoprostol.
tabling member constituency	Houghton and Sunderland South
tabling member printed	Bridget Phillipson
uin	163093
answer	answer is ministerial correction date of answer 16/07/2018 answer text <p>The Government’s priority is to ensure that women who require abortion services have access to safe, high-quality care. Abortions in England must be performed under the legal framework set by the Abortion Act 1967. We are not currently in a position to recommend that the home be approved as a class of place under Section 1(3)(a) of the Abortion Act 1967 in England. However, we are keeping the position under review, including reviewing the available evidence and having regard to the ongoing legal proceedings concerning home use in Scotland.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/07/2018 17:12:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4046 label Biography information for Bridget Phillipson

938674

registered interest
date	11/07/2018
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	Surrogacy: Parental Orders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what his policy is on the pre-authorisation of parental orders to enable legal parenthood to be conferred on surrogate parents at the point a child is born.
tabling member constituency	Twickenham
tabling member printed	Sir Vince Cable
uin	162965
answer	answer is ministerial correction date of answer 19/07/2018 answer text <p>The Government has supported a review of all surrogacy legislation by the Law Commission. Issues around the process and rules of applying for parental orders will be considered as part of the review.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 162966 question first answered 19/07/2018 15:02:31 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	207 label Biography information for Sir Vince Cable

938675

registered interest
date	11/07/2018
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	Surrogacy: Parental Orders
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 (a) equity and (b) efficacy of existing time limits in relation to parental orders for surrogate parenthood.
tabling member constituency	Twickenham
tabling member printed	Sir Vince Cable
uin	162966
answer	answer is ministerial correction date of answer 19/07/2018 answer text <p>The Government has supported a review of all surrogacy legislation by the Law Commission. Issues around the process and rules of applying for parental orders will be considered as part of the review.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 162965 question first answered 19/07/2018 15:02:31 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	207 label Biography information for Sir Vince Cable

937732

registered interest
date	10/07/2018
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	Breastfeeding and Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the NHS provides guidance to new Mothers on potential links between breast feeding and diabetes.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	162559
answer	answer is ministerial correction date of answer 18/07/2018 answer text <p>The main risk factor for developing type 2 diabetes is being overweight or obese. Breastfeeding is associated with greater postpartum weight loss and lower body mass index in the longer term for the mother. For infants, not being breastfed may also be associated with a greater risk of overweight or obesity later in childhood.</p><p> </p><p>Women are advised to breastfeed exclusively for around the first six months of an infant’s life and to continue breastfeeding for at least the first year of life. Each makes an important contribution to infant and maternal health.</p><p> </p><p>The Government continues to promote the importance of breastfeeding through various channels, such as the Start4Life campaign, the NHS Choices website (which has a dedicated Pregnancy and Baby guide) and the NHS Information Service for Parents; further information is available at the following link:</p><p> </p><p><a href="https://www.nhs.uk/conditions/pregnancy-and-baby/benefits-breastfeeding/" target="_blank">https://www.nhs.uk/conditions/pregnancy-and-baby/benefits-breastfeeding/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/07/2018 16:38:39 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

937740

registered interest
date	10/07/2018
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	Blood: Donors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has had discussions with (a) the Royal College of Nursing and (b) patients with blood group O on potential supply problems of blood group O.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	162565
answer	answer is ministerial correction date of answer 18/07/2018 answer text <p>The Department has not had discussions with the Royal College of Nursing or patients with blood group O on the supply of O negative blood to National Health Service hospitals.</p><p> </p><p>Some blood groups, such as O negative (the universal blood group), A negative and B negative are particularly vulnerable to shortfalls. NHS Blood and Transplant want people with these blood groups to donate as regularly as they can. There is also a need for more black African, black Caribbean, mixed race and South Asian people to become blood donors to reflect the ethnic diversity of patients.</p><p> </p><p>There is a current media push by NHS Blood and Transplant asking donors to make and keep appointments during the football and hot weather, especially if they are part of the O negative blood group.</p><p> </p><p>However, there is no shortage of blood and NHS Blood and Transplant has continued to meet hospitals’ requirements.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/07/2018 16:36:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon