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1121911

registered interest
date	18/04/2019
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	Maternal Mortality: Ethnic Groups
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 is taking to reduce maternal mortality among BAME women.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	245968
answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>The higher rates of maternal mortality experienced by black, Asian and minority ethnic (BAME) women is a complex and serious issue. The Department has commissioned the Policy Research Unit in Maternal and Neonatal Health and Care at Oxford University to undertake a research project in 2019-20 to investigate the factors associated with excess perinatal and maternal mortality. The Department will use findings from research to inform future maternity policies.</p><p>Current plans to reduce inequalities are set out in the NHS Long Term Plan, we aim to tackle maternal mortality inequality through the introduction of an enhanced continuity of carer model. By 2024, 75% of women from BAME communities and other vulnerable women will receive continuity of care from their midwife. This will also help reduce pre-term births, hospital admissions, and the need for intervention during labour.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 245969 question first answered 25/04/2019 10:33:15 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4657 label Biography information for Anneliese Dodds

1121914

registered interest
date	18/04/2019
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	Maternal Mortality: Ethnic Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reason maternal mortality rates are higher among BAME women.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	245969
answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>The higher rates of maternal mortality experienced by black, Asian and minority ethnic (BAME) women is a complex and serious issue. The Department has commissioned the Policy Research Unit in Maternal and Neonatal Health and Care at Oxford University to undertake a research project in 2019-20 to investigate the factors associated with excess perinatal and maternal mortality. The Department will use findings from research to inform future maternity policies.</p><p>Current plans to reduce inequalities are set out in the NHS Long Term Plan, we aim to tackle maternal mortality inequality through the introduction of an enhanced continuity of carer model. By 2024, 75% of women from BAME communities and other vulnerable women will receive continuity of care from their midwife. This will also help reduce pre-term births, hospital admissions, and the need for intervention during labour.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 245968 question first answered 25/04/2019 10:33:15 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4657 label Biography information for Anneliese Dodds

1122090

registered interest
date	18/04/2019
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	Gender Dysphoria: North East
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of state for Health and Social Care, what recent assessment he has made of the adequacy of waiting times to access NHS specialised gender services in the North East.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	245989
answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>NHS England has launched an ambitious programme to tackle waiting times, overseen by a Programme Board for Gender Identity Services. NHS England agreed new service specifications for gender dysphoria services in 2018 following a process of extensive stakeholder engagement and public consultation.</p><p>In April 2019 NHS England began a process of national procurement that will determine which organisations are best able to deliver specialist gender services in the future against the new service specifications, and this process is open to new providers. NHS England has also announced plans to establish for evaluation new gender services in primary care settings and other community care settings which if positively evaluated could be rolled out nationally, thereby helping to increase clinical capacity.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/04/2019 16:49:35 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4666 label Biography information for Dr Paul Williams

1122112

registered interest
date	18/04/2019
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, with reference to the recommendations in the Royal College of Psychiatrists position statement on consultant psychiatrists working across specialities outside normal working hours, what guidance his Department has issued to mental health providers to ensure the adequacy of arrangements for out of hours mental health care for children and young people.
tabling member constituency	South Shields
tabling member printed	Mrs Emma Lewell-Buck
uin	245807
answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>Currently, out of hours mental health care is available at accident and emergency departments, emergency general practitioner appointments, crisis resolution and home treatment services, crisis houses, and by calling NHS 111 or the Samaritans.</p><p> </p><p>The 2019 NHS Planning Guidance states that “CCGs should ensure there is a crisis response that meets the needs of under 18-year olds. These should be staffed by practitioners who are trained and competent in meeting the specific mental health needs of children and young people. CCGs should work towards delivering age-appropriate 24/7 crisis provision for children and young people (CYP) which combine crisis, liaison and intensive community support functions. This should apply whether or not the model selected by the CCG is a dedicated CYPMH service for 24/7 or extended hours, or a blended model that relies on Core24 to support CYP at some point during the 24 hours.”</p><p> </p><p>Setting up 24 hours a day, seven days a week crisis care provision for children, young people and their families is a key priority for the Government in the NHS Long Term Plan. All children and young people experiencing crisis will be able to access crisis care 24 hours a day, seven days a week by 2023/24 via NHS 111.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/04/2019 16:47:19 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

1121423

registered interest
date	11/04/2019
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	Naloxone: 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 4 July 2018 to Question 158990 on Naloxone: Prisoners, which prisons provided take-home Naloxone in 2017-18.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	244050
answer	answer is ministerial correction date of answer 24/04/2019 answer text <p>In the replies to Questions 153247 and 158990, we stated that this information would be published in 2019. While the numbers of people who were provided with take-home Naloxone are published, the names of prisons that provided take-home Naloxone to prisoners in 2017-18 are not included in the data collection.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/04/2019 09:20:39 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3973 label Biography information for Grahame Morris

1110962

registered interest
date	10/04/2019
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	Medical Equipment: Computers
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 his Department has made of the effect of the regulation of section 6 of the Health and Safety at Work Act 1974 on medical devices containing computers.
tabling member constituency	Vauxhall
tabling member printed	Kate Hoey
uin	243321
answer	answer is ministerial correction date of answer 15/04/2019 answer text <p>The Department has not made any assessment of the effect of the regulation of section 6 of the Health and Safety at Work Act 1974 on medical devices containing computers.</p><p> </p><p>Section 6 of the Health and Safety at Work Act 1974 places duties on any person who designs, manufacturers, imports or supplies any article for use at work to ensure that it will be safe and without risks to health. In general this applies to all devices used in the workplace but there are exceptions, such as medical devices, which are regulated by specific regulations that set out more detailed duties.</p><p> </p><p>The Medical Devices Regulations 2002 deal with the design, manufacture, import or supply of medical devices, including those which may contain computers/software. It is for the designer, manufacturer, importer or supplier to demonstrate that their product is safe. These regulations transpose the requirements of the following European Directives concerning product safety for medical devices:</p><p>- Council Directive 90/385/EEC on Active Implantable Medical Devices (AIMDD)(1990);</p><p>- Council Directive 93/42/EEC on Medical Devices (MDD)(1993); and</p><p>- Council Directive 98/79/EC on In Vitro Diagnostic Medical Devices (IVDMD)(1998).</p><p> </p><p>The Medicines and Healthcare products Regulatory Agency (MHRA) regulates medical devices in the United Kingdom. The following link provides more information on MHRA and its role:</p><p> </p><p><a href="https://www.gov.uk/topic/medicines-medical-devices-blood/medical-devices-regulation-safety" target="_blank">https://www.gov.uk/topic/medicines-medical-devices-blood/medical-devices-regulation-safety</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/04/2019 14:26:12 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	210 label Biography information for Baroness Hoey

1110965

registered interest
date	10/04/2019
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	Infant Mortality
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 1 May 2018 to Question 137006, whether he commission an assessment of the reasons for the trends in data provided by the Office for National Statistics in relation to infant mortality rates in households in different income quintiles.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	243351
answer	answer is ministerial correction date of answer 15/04/2019 answer text <p>We have not commissioned such an assessment. Public Health England (PHE) monitors trends in infant mortality at national and local level as part of the Public Health Outcomes Framework, which is statutory guidance for local authorities and published on PHE’s fingertips platform. Inequalities in infant mortality are monitored by decile of deprivation, which is updated every year and available at the following link:</p><p><a href="https://fingertips.phe.org.uk/profile/public-health-outcomes-framework/data#page/7/gid/1000044/pat/6/par/E12000001/ati/102/are/E06000005/iid/92196/age/2/sex/4" target="_blank">https://fingertips.phe.org.uk/profile/public-health-outcomes-framework/data#page/7/gid/1000044/pat/6/par/E12000001/ati/102/are/E06000005/iid/92196/age/2/sex/4</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/04/2019 12:45:51 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	478 label Biography information for Lord Field of Birkenhead

1111021

registered interest
date	10/04/2019
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	Medical Records
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 is taking to improve data sharing between private and NHS hospitals.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	243337
answer	answer is ministerial correction date of answer 15/04/2019 answer text <p>The Acute Data Alignment Programme (ADAPt) was established on 9 January 2018, and was launched in June 2018. The ADAPt Programme is jointly led by NHS Digital and the Private Healthcare Information Network (PHIN) in partnership with stakeholders from the Department, NHS Improvement, NHS England, and the Care Quality Commission.</p><p> </p><p>The programme has served to develop good working relationships between PHIN, NHS Digital and key stakeholders. The first phase focuses on ensuring that independent hospitals and National Health Service private patient units are submitting robust, complete and accurate data to PHIN, and that performance measures already required to be published by Order of the Competition and Markets Authority can be achieved as quickly as possible. The second phase will ensure the data flows from independent providers into NHS Digital, just as it does from NHS providers, enabling consistency in measurement and understanding of both risk of harm and health outcomes for patients wherever they are treated.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/04/2019 12:38:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	308 label Biography information for Mr Jim Cunningham

1111113

registered interest
date	10/04/2019
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 Tests
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 9 April 2019 to Question 239926 on Pregnancy Tests, for what reason previous studies were not considered robust; and what the extensive limitations were.
tabling member constituency	Bolton South East
tabling member printed	Yasmin Qureshi
uin	243382
answer	answer is ministerial correction date of answer 15/04/2019 answer text <p>The Commission on Human Medicines Expert Working Group on Hormone Pregnancy Tests considered that the key limitations of previous studies related to the accuracy of recording of what drug was taken by the women; clarity over the timing of administration during pregnancy; adjustment for confounding factors; selection of controls; and the statistical methodology.</p><p> </p><p>The Expert Group used a quality scoring system to evaluate the quality of each individual study according to a set of seven pre-defined quality criteria. The criteria and score agreed by the Expert Working Group for each study are published in Annex 27 of the final report.</p><p> </p><p>The criteria for selecting members of the Expert Working Group were based on the expertise needed to evaluate all aspects of the questions before the Group and the types of data that would need to be assessed. Membership included those with expertise in pharmaco-epidemiology, including perinatal and paediatric epidemiology, medical statistics, embryology, clinical genetics, gynaecology, reproductive endocrinology, toxicology and pharmacology.</p><p> </p><p>The process for selecting members was in line with established policy for expert groups of the Commission on Human Medicines, with the nominations being agreed by the Commission and endorsed by Ministers.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 243383 question first answered 15/04/2019 14:23:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3924 label Biography information for Yasmin Qureshi

1111114

registered interest
date	10/04/2019
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	Hormone Pregnancy Tests Expert Working Group
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 criteria were for selecting members of the Expert Working Group for Hormone Pregnancy Tests.
tabling member constituency	Bolton South East
tabling member printed	Yasmin Qureshi
uin	243383
answer	answer is ministerial correction date of answer 15/04/2019 answer text <p>The Commission on Human Medicines Expert Working Group on Hormone Pregnancy Tests considered that the key limitations of previous studies related to the accuracy of recording of what drug was taken by the women; clarity over the timing of administration during pregnancy; adjustment for confounding factors; selection of controls; and the statistical methodology.</p><p> </p><p>The Expert Group used a quality scoring system to evaluate the quality of each individual study according to a set of seven pre-defined quality criteria. The criteria and score agreed by the Expert Working Group for each study are published in Annex 27 of the final report.</p><p> </p><p>The criteria for selecting members of the Expert Working Group were based on the expertise needed to evaluate all aspects of the questions before the Group and the types of data that would need to be assessed. Membership included those with expertise in pharmaco-epidemiology, including perinatal and paediatric epidemiology, medical statistics, embryology, clinical genetics, gynaecology, reproductive endocrinology, toxicology and pharmacology.</p><p> </p><p>The process for selecting members was in line with established policy for expert groups of the Commission on Human Medicines, with the nominations being agreed by the Commission and endorsed by Ministers.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 243382 question first answered 15/04/2019 14:23:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3924 label Biography information for Yasmin Qureshi