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1132765

registered interest
date	18/06/2019
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	IVF
house id	1
legislature	25259 pref label House of Commons
question text	What recent discussions his Department has had with clinical commissioning groups on the Human Fertilisation and Embryology Authority’s guidance on fertility treatment.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	911423
answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services that meet the needs of their whole population, including fertility services. The Human Fertilisation and Embryology Aauthority’s guidance for commissioners is a new tool to help them implement National Institute for Health and Care Excellence (NICE) Fertility guidelines and utilise the benchmark price for In Vitro Fertilisation.</p><p>I have written to all CCGs to promote the guidance and benchmark price, and encourage them to fully implement NICE Fertility Guideline recommendations.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 15:21:37 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

1129266

registered interest
date	03/06/2019
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: Hearing Impairment
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 adequacy of mental health support for people who (a) are deaf and (b) have a hearing impairment; and if he will make a statement.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	258972
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>The Government is committed to ensuring that all people who have a mental health need, including those who are deaf or have a hearing impairment, are able to access appropriate support when they need it regardless of other physical health conditions. Commissioners are responsible for commissioning appropriate cultural and linguistic provisions when planning services for deaf people.</p><p>Deaf patients are able to access mental health services based on a clinical assessment of need with the support and involvement of clinicians (including consultant psychiatrists and mental health nurses) with the skills and experience of working with deaf people with mental illness and who are able to communicate using British Sign Language (BSL) where needed.</p><p>NHS England commissions specialised mental health services for children, young people and adults who are deaf or have a hearing impairment. These include inpatient and outreach services for children and young people and services for adults who require inpatient care, including care in secure mental health services.</p><p>The Specialised Mental Health Clinical Reference Group provides advice and support to NHS England about improving commissioning, including through service specifications and quality schemes. NHS England has developed a specific Commissioning for Quality and Innovation (CQUIN) scheme in 2019-20 for specialised deaf services aimed at introducing a standardised approach to the assessment and understanding of a patient’s individual communication skills, which will improve the effectiveness of interactions with staff, care planning and delivery.</p><p>The Joint Commissioning Panel for Mental Health has published guidance for commissioners of primary care mental health services for deaf people. This is for use by clinical commissioning groups, local authorities and service providers across primary and secondary care. The content is evidence based and incudes what is deemed to be best practice when commissioning mental health services for deaf people. The guide is available at the following link:</p><p><a href="http://www.improvement.nhs.uk/resources/improving-mental-health-services-for-deaf-people/" target="_blank">www.improvement.nhs.uk/resources/improving-mental-health-services-for-deaf-people/</a></p><p>The guidance recommends the training of psychological wellbeing practitioners through an accredited standard Improving Access to Psychological Therapies low intensity training course adapted for delivery in BSL. It also sets out the benefit of providing the current specialist BSL workforce with access to continuing professional development training so that they are able to further develop their skills and expertise through programmes such as high intensity therapy, counselling for depression, supervision qualifications and other appropriate interventions.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 258975 question first answered 06/06/2019 15:37:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

1129269

registered interest
date	03/06/2019
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: Hearing Impairment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what (a) guidance and (b) training is available to clinicians on assessing and referring deaf patients to specialist mental health support.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	258975
answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>The Government is committed to ensuring that all people who have a mental health need, including those who are deaf or have a hearing impairment, are able to access appropriate support when they need it regardless of other physical health conditions. Commissioners are responsible for commissioning appropriate cultural and linguistic provisions when planning services for deaf people.</p><p>Deaf patients are able to access mental health services based on a clinical assessment of need with the support and involvement of clinicians (including consultant psychiatrists and mental health nurses) with the skills and experience of working with deaf people with mental illness and who are able to communicate using British Sign Language (BSL) where needed.</p><p>NHS England commissions specialised mental health services for children, young people and adults who are deaf or have a hearing impairment. These include inpatient and outreach services for children and young people and services for adults who require inpatient care, including care in secure mental health services.</p><p>The Specialised Mental Health Clinical Reference Group provides advice and support to NHS England about improving commissioning, including through service specifications and quality schemes. NHS England has developed a specific Commissioning for Quality and Innovation (CQUIN) scheme in 2019-20 for specialised deaf services aimed at introducing a standardised approach to the assessment and understanding of a patient’s individual communication skills, which will improve the effectiveness of interactions with staff, care planning and delivery.</p><p>The Joint Commissioning Panel for Mental Health has published guidance for commissioners of primary care mental health services for deaf people. This is for use by clinical commissioning groups, local authorities and service providers across primary and secondary care. The content is evidence based and incudes what is deemed to be best practice when commissioning mental health services for deaf people. The guide is available at the following link:</p><p><a href="http://www.improvement.nhs.uk/resources/improving-mental-health-services-for-deaf-people/" target="_blank">www.improvement.nhs.uk/resources/improving-mental-health-services-for-deaf-people/</a></p><p>The guidance recommends the training of psychological wellbeing practitioners through an accredited standard Improving Access to Psychological Therapies low intensity training course adapted for delivery in BSL. It also sets out the benefit of providing the current specialist BSL workforce with access to continuing professional development training so that they are able to further develop their skills and expertise through programmes such as high intensity therapy, counselling for depression, supervision qualifications and other appropriate interventions.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 258972 question first answered 06/06/2019 15:37:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

1082617

registered interest
date	06/03/2019
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	Selective Serotonin Reuptake Inhibitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guidance his Department has issued to health professionals that prescribe Selective Serotonin Reuptake Inhibitors on advice to patients on the potential for (a) erectile dysfunction and (b) other side effects after patients have stopped taking that medication.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	229085
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>Selective Serotonin Reuptake Inhibitors (SSRIs) are authorised for the treatment of depression and anxiety disorders.</p><p> </p><p>Information about possible side-effects associated with treatment are provided in the product information which is available to all prescribers and patients. All SSRIs include sexual dysfunction (problems with erection or ejaculation) within the list of possible side effects. The Medicines and Healthcare products Regulatory Agency (MHRA) is contributing to an ongoing European review of persistent sexual dysfunction for all SSRI medicines.</p><p> </p><p>All SSRIs may be associated with withdrawal reactions on stopping or reducing treatment and product information for healthcare professionals and patients includes advice on gradual withdrawal of treatment and management of symptoms.</p><p> </p><p>In addition to the product information which is approved by the MHRA, communications and guidance may be issued to raise awareness of particular safety concerns. Information about possible withdrawal reactions and the need to gradually reduce the dose when stopping treatment was issued in 2004 and subsequently incorporated into general guidance published on the MHRA website in 2014.</p><p> </p><p>The safety of SSRIs is continually monitored by the MHRA.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 14/03/2019 16:04:22 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

1063584

registered interest
date	18/02/2019
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	Postnatal Depression
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 implications for his policies of the conclusions of the June 2017 National Childbirth Trust report entitled The Hidden Half: Bringing postnatal mental illness on a lack of support for new mothers with mental health issues.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	222574
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The Department is aware of the National Childbirth Trust’s ‘Hidden Half’ report and campaign, which are making an important contribution to the debate around the need to develop and improve perinatal mental health services.</p><p> </p><p>The NHS Long Term Plan includes a commitment for a further 24,000 women to be able to access specialist perinatal mental health care by 2023/24, building on the additional 30,000 women who will access these services each year by 2020/21 under pre-existing plans as set out in the Five Year Forward View for Mental Health.</p><p> </p><p>Specialist care will also be available from preconception to 24 months after birth, which will provide an extra year of support.</p><p> </p><p>General practitioners and primary care teams have a crucial role in supporting the identification of perinatal mental illness and treatment, and are part of an integrated pathway of services. This includes monitoring early onset conditions, providing pre-conception counselling and referring women to specialist mental health services, including Improving Access to Psychological Therapies and specialist perinatal community teams, if necessary.</p><p> </p><p>Over £1.2 million was provided in 2017 to enable the training of primary care, maternity and mental health staff to increase awareness and skills related to perinatal mental health.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/02/2019 11:51:26 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

1063632

registered interest
date	18/02/2019
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 Illness: Community Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether powers exist to compel an individual to accept mental health treatment in the community.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	222619
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>An individual cannot be compelled to have treatment in the community if they do not want it.</p><p> </p><p>For individuals who have been detained under the Mental Health Act 1983, section 17A of the Act makes provision for Community Treatment Orders. This allows conditions to be placed on an individual when in the community, following detention under s3 or s37 of the Mental Health Act. If conditions are not followed, and an individual’s mental health declines, they can be recalled back to hospital for treatment.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/02/2019 11:53:35 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

932172

registered interest
date	28/06/2018
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	IVF
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of multiple births in England in 2017 were a result of IVF treatment which took place outside the UK.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	158661
answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>This information is not collected centrally.</p><p> </p><p>The Department has been made aware anecdotally of an increasing number of couples going outside of the regulated sector in the United Kingdom to have fertility treatment, which results in multiple pregnancies. The expectant mothers are returning to the UK to receive their maternity care within the National Health Service.</p><p> </p><p>Multiple births involve higher risks for mothers and babies. Prematurity and low birth weight are the main reason for increased mortality and disability for these children.</p><p> </p><p>The Human Fertilisation and Embryology Authority has worked in partnership with professional stakeholders and UK clinics over the last 10 years to significantly reduce multiple births in UK fertility treatment through a policy of single embryo transfer.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 158662 question first answered 06/07/2018 12:50:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

932173

registered interest
date	28/06/2018
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	IVF
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what was the cost to the NHS of (a) multiple births resulting from IVF treatment outside the UK for mothers who were refused such treatment in the UK and (b) other multiple births resulting from IVF treatment outside the UK in the last period for which figures are available.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	158662
answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>This information is not collected centrally.</p><p> </p><p>The Department has been made aware anecdotally of an increasing number of couples going outside of the regulated sector in the United Kingdom to have fertility treatment, which results in multiple pregnancies. The expectant mothers are returning to the UK to receive their maternity care within the National Health Service.</p><p> </p><p>Multiple births involve higher risks for mothers and babies. Prematurity and low birth weight are the main reason for increased mortality and disability for these children.</p><p> </p><p>The Human Fertilisation and Embryology Authority has worked in partnership with professional stakeholders and UK clinics over the last 10 years to significantly reduce multiple births in UK fertility treatment through a policy of single embryo transfer.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 158661 question first answered 06/07/2018 12:50:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

928639

registered interest
date	21/06/2018
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	Multiple Births
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the cost to the NHS was of multiple births in each year since 2010.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	156326
answer	answer is ministerial correction date of answer 26/06/2018 answer text <p>The Department does not hold this data in the format requested. Maternity delivery episodes are not costed by multiple or singleton birth; they are costed by physiological delivery, assisted delivery and planned or emergency caesarean.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/06/2018 16:30:58 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe

926531

registered interest
date	18/06/2018
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	Childbirth
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the average cost to the NHS was of a (a) multiple birth, and (b) singleton birth in 2017.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	154585
answer	answer is ministerial correction date of answer 21/06/2018 answer text <p>Maternity delivery episodes are not costed by multiple or singleton birth. They are costed in three categories: normal delivery, assisted delivery and planned or emergency caesarean.</p><p> </p><p>The most recent statistics available relate to financial year of 2016-17. The following table shows the average cost of each delivery episode and the total cost of each category for 2016-17.</p><p> </p><table><tbody><tr><td rowspan="2"><p> </p></td><td colspan="3"><p>Total</p></td></tr><tr><td><p>Activity</p></td><td><p>Average cost per delivery episode (£)</p></td><td><p>Total cost (£ million)</p></td></tr><tr><td><p>Normal delivery episodes</p></td><td><p>380,010</p></td><td><p>2,288</p></td><td><p>869.34</p></td></tr><tr><td><p>Assisted delivery episodes</p></td><td><p>81,597</p></td><td><p>3,367</p></td><td><p>274.70</p></td></tr><tr><td><p>Caesarean episodes</p></td><td><p>172,794</p></td><td><p>4,248</p></td><td><p>734.00</p></td></tr><tr><td><p>Total delivery episodes</p></td><td><p>634,401</p></td><td><p>2,960</p></td><td><p>1,878.05</p></td></tr></tbody></table><p>Source: <a href="https://improvement.nhs.uk/resources/reference-costs" target="_blank">https://improvement.nhs.uk/resources/reference-costs</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/06/2018 11:38:30 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	298 label Biography information for Steve McCabe