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806454

registered interest
date	14/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion: Private Sector
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 ensure that private abortion providers give clients adequate time to make their own decisions on abortion; and if he will make a statement.
tabling member constituency	North Tyneside
tabling member printed	Mary Glindon
uin	119530
answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>All independent sector providers of termination of pregnancy services are required by the Department’s Required Standard Operating Procedures (RSOPs) to ensure that women requesting an abortion are offered the opportunity to discuss their options and choices with, and receive therapeutic support from, a trained pregnancy counsellor. This offer should be repeated at every stage of the care pathway.</p><p> </p><p>In addition, women should be able to choose to delay appointments/booked procedures which should always override issues of timeliness.</p><p> </p><p>Independent sector clinics performing termination of pregnancy are approved by the Secretary of State for Health and registered with the Care Quality Commission (CQC) to undertake that regulated activity. Once registered, independent sector abortion providers are inspected by the CQC who will monitor providers’ compliance with the RSOPs. Failure to comply with the requirements of the RSOPs may lead to withdrawal of Secretary of State’s approval for that clinic to provide termination of pregnancy services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/12/2017 15:39:11 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4126 label Biography information for Mary Glindon

805246

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to recommendation 38 from the Independent Mental Health Taskforce's Five Year Forward View for Mental Health, whether Health Education England plans to work with the Academy of Medical Royal Colleges to develop standards for prescribing professionals.
tabling member constituency	North Tyneside
tabling member printed	Mary Glindon
uin	118918
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>Health Education England has met with the Academy of Medical Royal Colleges and other partners, to discuss this issue and the development of the Royal Pharmaceutical Society‘s comprehensive national competency framework for all prescribers, which underwent wide consultation and is due for review in 2020.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 18:14:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4126 label Biography information for Mary Glindon

805257

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Marie Stopes International: Maidstone
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the Care Quality Commission report into the Marie Stopes International Maidstone, Centre published in October 2017, if he plans to withdraw that Centre's licence to perform abortions: and if he will make a statement.
tabling member constituency	North Tyneside
tabling member printed	Mary Glindon
uin	118929
answer	answer is ministerial correction date of answer 20/12/2017 answer text <p>Marie Stopes International’s (MSI) Maidstone centre continues to be approved to perform abortions by the Secretary of State for Health and is also registered by the Care Quality Commission (CQC) to perform the regulated activity of termination of pregnancy. The CQC’s October 2017 report relates to an inspection undertaken in 2016. Since then, MSI’s Maidstone Centre has been re-inspected and another report will be published in due course.</p><p> </p><p>MSI is continuing to take a range of actions to address the issues identified in the CQC’s report and the CQC has made clear that it will not hesitate to take further action, if necessary, in order to guarantee MSI meets the appropriate standards of care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/12/2017 17:32:46 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4126 label Biography information for Mary Glindon

805258

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	British Pregnancy Advisory Service
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the report of the Care Quality Commission into the Merseyside British Pregnancy Advisory Service (BPAS), what steps he is taking to ensure that BPAS clinics operate good health and safety practices; and if he will make a statement.
tabling member constituency	North Tyneside
tabling member printed	Mary Glindon
uin	118930
answer	answer is ministerial correction date of answer 20/12/2017 answer text <p>Since publication of the Care Quality Commission’s (CQC) inspection report into the British Pregnancy Advisory Service (BPAS) Merseyside clinic, BPAS Merseyside, the CQC and Halton Clinical Commissioning Group have developed a local action plan to address the concerns identified. The CQC is monitoring implementation of the action plan through ongoing engagement with BPAS Merseyside.</p><p> </p><p>All independent sector clinics wishing to perform termination of pregnancy, including clinics run by BPAS, must be approved by the Secretary of State for Health and registered with the CQC to undertake that regulated activity. Once registered, the CQC monitors a provider’s compliance with the relevant requirements of the Health and Social Care Act 2008 and regulations made under that Act.</p><p> </p><p>Failure to comply with the requirements of the Abortion Act 1967 (and associated regulations), the Health and Social Care Act 2008 (and associated regulations) and/or the Department’s Required Standard Operating Procedures for independent sector abortion providers may lead to withdrawal of Secretary of State’s approval. The Reviewed Standard Operating Procedures can be viewed at:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/313443/final_updated_RSOPs_21_May_2014.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/313443/final_updated_RSOPs_21_May_2014.pdf</a></p><p>The CQC may also take independent enforcement action under the Health and Social Care Act 2008 which includes the power to suspend or cancel registration and pursue prosecution.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/12/2017 17:35:33 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4126 label Biography information for Mary Glindon

805259

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion: Childbirth
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to ensure the adequate provision of (a) support and (b) counselling for healthcare professionals involved in late-term abortions who witness babies being born alive; and if he will make a statement.
tabling member constituency	North Tyneside
tabling member printed	Mary Glindon
uin	118931
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>In line with the Royal College of Obstetricians and Gynaecologists’ (RCOG) clinical guidelines, feticide should be performed before medical abortion after 21 weeks and six days of gestation to ensure that there is no risk of a live birth.</p><p> </p><p>As set out in the RCOG guideline on Termination of Pregnancy for Fetal Abnormality, live birth following termination of pregnancy before 21 weeks and six days of gestation is very uncommon. The guideline can be viewed at:</p><p> </p><p><a href="https://www.rcog.org.uk/globalassets/documents/guidelines/terminationpregnancyreport18may2010.pdf" target="_blank">https://www.rcog.org.uk/globalassets/documents/guidelines/terminationpregnancyreport18may2010.pdf</a></p><p> </p><p>However, women and their partners should be counselled about this unlikely possibility and staff should be trained to deal with this eventuality.</p><p> </p><p>Where the fetal abnormality is not compatible with survival, termination of pregnancy after 21 weeks and six days of gestation without prior feticide may be preferred by some women. In such cases, the delivery management should be discussed and planned with the parents and all health professionals involved and a written care plan agreed before the termination takes place.</p><p> </p><p>All employers have a duty to protect the health, safety and welfare of their employees. It is for abortion providers to ensure that appropriate training, support and, if needed, counselling is available for all staff performing late term abortion.</p><p> </p><p>Information on the number of live births following termination of pregnancy is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 118932 118933 question first answered 19/12/2017 11:51:00 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4126 label Biography information for Mary Glindon

805260

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion: Childbirth
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many babies were born alive after an unsuccessful abortion procedure in each year since 2006 for which figures are available; how many of those babies survived beyond infancy in those years; and if he will make a statement.
tabling member constituency	North Tyneside
tabling member printed	Mary Glindon
uin	118932
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>In line with the Royal College of Obstetricians and Gynaecologists’ (RCOG) clinical guidelines, feticide should be performed before medical abortion after 21 weeks and six days of gestation to ensure that there is no risk of a live birth.</p><p> </p><p>As set out in the RCOG guideline on Termination of Pregnancy for Fetal Abnormality, live birth following termination of pregnancy before 21 weeks and six days of gestation is very uncommon. The guideline can be viewed at:</p><p> </p><p><a href="https://www.rcog.org.uk/globalassets/documents/guidelines/terminationpregnancyreport18may2010.pdf" target="_blank">https://www.rcog.org.uk/globalassets/documents/guidelines/terminationpregnancyreport18may2010.pdf</a></p><p> </p><p>However, women and their partners should be counselled about this unlikely possibility and staff should be trained to deal with this eventuality.</p><p> </p><p>Where the fetal abnormality is not compatible with survival, termination of pregnancy after 21 weeks and six days of gestation without prior feticide may be preferred by some women. In such cases, the delivery management should be discussed and planned with the parents and all health professionals involved and a written care plan agreed before the termination takes place.</p><p> </p><p>All employers have a duty to protect the health, safety and welfare of their employees. It is for abortion providers to ensure that appropriate training, support and, if needed, counselling is available for all staff performing late term abortion.</p><p> </p><p>Information on the number of live births following termination of pregnancy is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 118931 118933 question first answered 19/12/2017 11:51:00 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4126 label Biography information for Mary Glindon

805261

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what training NHS nurses receive about the physical and emotional consequences of late-term abortions: and if he will make a statement.
tabling member constituency	North Tyneside
tabling member printed	Mary Glindon
uin	118933
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>In line with the Royal College of Obstetricians and Gynaecologists’ (RCOG) clinical guidelines, feticide should be performed before medical abortion after 21 weeks and six days of gestation to ensure that there is no risk of a live birth.</p><p> </p><p>As set out in the RCOG guideline on Termination of Pregnancy for Fetal Abnormality, live birth following termination of pregnancy before 21 weeks and six days of gestation is very uncommon. The guideline can be viewed at:</p><p> </p><p><a href="https://www.rcog.org.uk/globalassets/documents/guidelines/terminationpregnancyreport18may2010.pdf" target="_blank">https://www.rcog.org.uk/globalassets/documents/guidelines/terminationpregnancyreport18may2010.pdf</a></p><p> </p><p>However, women and their partners should be counselled about this unlikely possibility and staff should be trained to deal with this eventuality.</p><p> </p><p>Where the fetal abnormality is not compatible with survival, termination of pregnancy after 21 weeks and six days of gestation without prior feticide may be preferred by some women. In such cases, the delivery management should be discussed and planned with the parents and all health professionals involved and a written care plan agreed before the termination takes place.</p><p> </p><p>All employers have a duty to protect the health, safety and welfare of their employees. It is for abortion providers to ensure that appropriate training, support and, if needed, counselling is available for all staff performing late term abortion.</p><p> </p><p>Information on the number of live births following termination of pregnancy is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 118931 118932 question first answered 19/12/2017 11:51:00 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4126 label Biography information for Mary Glindon

805262

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the report from the Care Quality Commission on an inspection of Birmingham Women's NHS Foundation Trust, published in November 2016, what steps he is taking to ensure that Registered Medical Practitioners signing HSA1 abortion forms have (a) first seen the woman they are treating and (b) complete the HSA1 form accurately; and if he will make a statement.
tabling member constituency	North Tyneside
tabling member printed	Mary Glindon
uin	118934
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Birmingham Women's and Children’s NHS Foundation Trust has taken action to address the concerns raised about completion of HSA1 certificates in the Care Quality Commission’s (CQC) inspection report. The Trust has advised the CQC that education sessions covering appropriate completion of the HSA1 certificate are delivered to all clinicians and junior doctors involved in the service, and that these sessions are delivered at induction and on an on-going basis. In addition, HSA1 certificates are audited quarterly to ensure that there is 100% compliance with the Abortion Regulations 1991. The Regulations can be viewed at:</p><p><a href="http://www.legislation.gov.uk/uksi/1991/499/contents/made" target="_blank">http://www.legislation.gov.uk/uksi/1991/499/contents/made</a></p><p>The Department issued guidance to all Registered Medical Practitioners in July 2013 outlining their responsibilities under the Abortion Act 1967, in relation to completing the HSA1 form. The guidance is available to be viewed here:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/226928/2013_C_Guidance_note_for_completing_the_HSA1_and_HSA2_abortion_forms.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/226928/2013_C_Guidance_note_for_completing_the_HSA1_and_HSA2_abortion_forms.pdf</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/12/2017 11:57:52 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4126 label Biography information for Mary Glindon