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999499

registered interest
date	01/11/2018
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	Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how NICE (a) classifies and (b) regulates new treatments made up of a combination of active substances.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	187142
answer	answer is ministerial correction date of answer 07/11/2018 answer text <p>The National Institute for Health and Care Excellence does not classify or regulate new treatments. Licensing of new medicines, including combinations of active substances, is undertaken by the Medicines and Healthcare products Regulatory Agency (MHRA) or the European Medicine Agency in consultation with the MHRA. The MHRA is the Government agency responsible for ensuring that medicines and medical devices work and are acceptably safe.</p><p> </p><p>Most combinations of active substances are so-called ‘fixed combinations’ – most commonly a tablet containing two or more different medicines. Fixed combination applications can be classified as:</p><p>- Products containing one or more new active substances;</p><p>- Products containing a combination of previously licenced substances; and</p><p>- Generic copies of the above.</p><p> </p><p>The legal basis for the regulation of combination medicinal products is given in European Union Directive 2001/83/EC as amended, and subsequently implemented into United Kingdom medicines legislation. The specific legal basis and the data requirements for combination medicinal products vary depending on the active substances in the combination, the development undertaken, and the licenced indications of the product.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/11/2018 12:34:52 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4657 label Biography information for Anneliese Dodds

999712

registered interest
date	01/11/2018
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, pursuant to the Answer of 01 November 2018 to Question 185122 on In Vitro Fertilisation, if he will make an assessment of the potential merits of making mandatory National Institute for Health and Care Excellence guidelines on the assessment and treatment of people with fertility problems.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	187136
answer	answer is ministerial correction date of answer 06/11/2018 answer text <p>We have no such plans. The National Institute for Health and Care Excellence’s clinical guidelines help healthcare professionals deliver the best possible care based on the best available evidence. They focus on aspects of healthcare that are commissioned locally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/11/2018 11:17:11 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4656 label Biography information for Layla Moran

999195

registered interest
date	31/10/2018
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	NHS: Data Protection
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 has has made of the effect of the implementation of the general data protection regulation on administrative operations within the NHS.
tabling member constituency	Belfast North
tabling member printed	Nigel Dodds
uin	186225
answer	answer is ministerial correction date of answer 07/11/2018 answer text <p>No comprehensive assessment has yet been made within the National Health Service as we are still rolling out guidance. NHS England has provided a comprehensive suite of guidance products to help organisations recognise their obligations and put effective governance and risk management arrangements in place across the health and care sectors.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/11/2018 12:36:46 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1388 label Biography information for Lord Dodds of Duncairn

999228

registered interest
date	31/10/2018
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: Antenatal Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans he has to ensure the implementation of NICE guidance on antenatal care for (a) twin and (b) triplet pregnancies in maternity units in England.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	186351
answer	answer is ministerial correction date of answer 07/11/2018 answer text <p>In 2017, the Department funded the Twins and Multiple Births Association Maternity Engagement Project. This results from the interim report suggest that increased adherence to relevant National Institute for Health and Care Excellence (NICE) guidance gave better outcomes for multiple births. Taking this into account, the Department expects all health professionals working with multiple pregnancies to adhere to the relevant NICE guidance.</p><p> </p><p>To reduce variance in the levels of maternity care across trusts, all maternity services now have one obstetrician, one midwife and one board level Maternity Safety Champion jointly responsible for championing maternity safety, spreading learning and encouraging best practice within their organisations. This includes adherence to NICE guidelines on issues such as antenatal care for multiple pregnancies.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/11/2018 12:37:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4418 label Biography information for Justin Madders

999253

registered interest
date	31/10/2018
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 Services: Schools
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many additional schools he estimates will have mental health support teams and specialist crisis teams in (a) Windsor, (b) the South East and (c) the UK by 2023-24.
tabling member constituency	Windsor
tabling member printed	Adam Afriyie
uin	186280
answer	answer is ministerial correction date of answer 07/11/2018 answer text <p>The Government announced its long term financial settlement for the National Health Service in June. This will represent an increase of £20.5 billion in real terms by 2023/24. The Government has asked the NHS to develop a long term plan which will set out a vision for the health service. The Government has been clear that better access to mental health services, to help achieve the Government’s commitment to parity of esteem between mental and physical health, is one of the principles which must underpin the plan.</p><p> </p><p>The 2018 Budget set out some of aspects of what the long term plan will contain, and further details will follow when the plan is published in due course.</p><p> </p><p>Work on developing mental health support teams for schools forms part of the work to implement the proposals set out in the Green Paper, transforming children and young people’s mental health provision. The first wave of recruitment for the Educational Mental Health Practitioners who will form part of these teams is now under way, and 210 people will take their places on specialist training courses from January. The intention is that these trainees will start working in schools during 2019. The initial local areas, or trailblazer sites, that will trial the Green Paper proposals will be announced in due course.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 186282 186283 186284 186285 186286 question first answered 07/11/2018 12:42:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1586 label Biography information for Adam Afriyie

999260

registered interest
date	31/10/2018
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 Services: 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, what assessment he has made of the effectiveness of the process for enabling young people to transition to adult mental health services at the age of 18; whether he plans to put in place a developmental approach to such transition; and if he will make a statement.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	186169
answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>Some young people need ongoing support into young adulthood, after they leave children and young people’s mental health services. This point of transition is an important stage for young people, and it is not always easy.</p><p> </p><p>That is why, in January 2015, NHS England published a Model Specification for Transitions from Child and Adolescent Mental Health Services, to support better transition planning and delivery by local providers. Transition from children and young people’s mental health services has also been included as one of 13 mandatory national indicators in the Commissioning for Quality and Innovation scheme, 2017/19, which offers financial incentives to local areas to encourage improved transition planning for children and young people.</p><p> </p><p>To address issues of transition, some areas have already adopted a mental health service which supports young people from ages 0-25.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/11/2018 15:48:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	252 label Biography information for Dr David Drew

999275

registered interest
date	31/10/2018
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 Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many people accessed eye movement desensitisation and reprocessing therapy on the NHS in each of the last three years.
tabling member constituency	Manchester, Withington
tabling member printed	Jeff Smith
uin	186380
answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>Improving Access to Psychological Therapies (IAPT) is a National Health Service programme that offers a range of interventions for treating people with depression or anxiety.</p><p> </p><p>Eye Movement Desensitisation Reprocessing is one of the therapies that can be given to a patient referred to IAPT services.</p><p> </p><p>The following table shows the number of referrals to IAPT services in from 2014-15 to 2016-17, for which at least one appointment included Eye Movement Desensitisation Reprocessing as a treatment.</p><p> </p><p>Number of referrals with one or more appointments where Eye Movement Desensitisation Reprocessing was given as a treatment, England, 2014-15 to 2016-17</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Referrals</p></td></tr><tr><td><p>2016-17</p></td><td><p>6,637</p></td></tr><tr><td><p>2015-16</p></td><td><p>5,295</p></td></tr><tr><td><p>2014-15</p></td><td><p>2,922</p></td></tr></tbody></table><p>Source: NHS Digital</p><p>Notes:</p><ol><li>Due to a dataset version change, it has not been possible to identify Eye Movement Desensitisation Reprocessing as a therapy type in appointments prior to 1 July 2014. Therefore 2014-15 is only a partial year of data.</li></ol><p> </p><ol start="2"><li>Data are derived from annualised IAPT data. 2016-17 is the latest available data and is available at the following link:</li></ol><p> </p><p><a href="http://www.digital.nhs.uk/iaptreports" target="_blank">www.digital.nhs.uk/iaptreports</a></p><p> </p><ol start="3"><li>This table presents counts of referrals. A referral is a request for a care service to be provided for a patient. Over time, a patient may have more than one referral to IAPT services and so a count of referrals is not a count of people.</li></ol><p> </p><p>Medical training is the responsibility of the General Medical Council (GMC), which is an independent statutory body. The GMC has the general function of promoting high standards of education and co-ordinating all stages of education to ensure that medical students and newly qualified doctors are equipped with the knowledge, skills and attitudes essential for professional practice.</p><p /><p>The training curricula for postgraduate trainee doctors is set by the relevant medical Royal College, and must meet standards set by the GMC. Whilst curricula do not necessarily highlight specific conditions, they instead emphasise the skills and approaches that a doctor must develop and maintain in order to ensure accurate and timely diagnoses and treatment plans for their patients.</p><p /><p>The GMC also sets the standards expected at undergraduate level and approves medical school curricula.  In so doing, they set out the knowledge, skills and behaviours that new United Kingdom medical graduates must be able to demonstrate. This is further detailed at the following link:</p><p> </p><p><a href="http://www.gmc-uk.org/education/undergraduate/undergrad_outcomes.asp" target="_blank">http://www.gmc-uk.org/education/undergraduate/undergrad_outcomes.asp</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 186381 question first answered 05/11/2018 15:50:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4456 label Biography information for Jeff Smith

999278

registered interest
date	31/10/2018
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	Post-traumatic Stress Disorder
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what training his Department provides to NHS doctors on (a) eye movement desensitisation and (b) reprocessing treatment for cases of post traumatic stress disorder.
tabling member constituency	Manchester, Withington
tabling member printed	Jeff Smith
uin	186381
answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>Improving Access to Psychological Therapies (IAPT) is a National Health Service programme that offers a range of interventions for treating people with depression or anxiety.</p><p> </p><p>Eye Movement Desensitisation Reprocessing is one of the therapies that can be given to a patient referred to IAPT services.</p><p> </p><p>The following table shows the number of referrals to IAPT services in from 2014-15 to 2016-17, for which at least one appointment included Eye Movement Desensitisation Reprocessing as a treatment.</p><p> </p><p>Number of referrals with one or more appointments where Eye Movement Desensitisation Reprocessing was given as a treatment, England, 2014-15 to 2016-17</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Referrals</p></td></tr><tr><td><p>2016-17</p></td><td><p>6,637</p></td></tr><tr><td><p>2015-16</p></td><td><p>5,295</p></td></tr><tr><td><p>2014-15</p></td><td><p>2,922</p></td></tr></tbody></table><p>Source: NHS Digital</p><p>Notes:</p><ol><li>Due to a dataset version change, it has not been possible to identify Eye Movement Desensitisation Reprocessing as a therapy type in appointments prior to 1 July 2014. Therefore 2014-15 is only a partial year of data.</li></ol><p> </p><ol start="2"><li>Data are derived from annualised IAPT data. 2016-17 is the latest available data and is available at the following link:</li></ol><p> </p><p><a href="http://www.digital.nhs.uk/iaptreports" target="_blank">www.digital.nhs.uk/iaptreports</a></p><p> </p><ol start="3"><li>This table presents counts of referrals. A referral is a request for a care service to be provided for a patient. Over time, a patient may have more than one referral to IAPT services and so a count of referrals is not a count of people.</li></ol><p> </p><p>Medical training is the responsibility of the General Medical Council (GMC), which is an independent statutory body. The GMC has the general function of promoting high standards of education and co-ordinating all stages of education to ensure that medical students and newly qualified doctors are equipped with the knowledge, skills and attitudes essential for professional practice.</p><p /><p>The training curricula for postgraduate trainee doctors is set by the relevant medical Royal College, and must meet standards set by the GMC. Whilst curricula do not necessarily highlight specific conditions, they instead emphasise the skills and approaches that a doctor must develop and maintain in order to ensure accurate and timely diagnoses and treatment plans for their patients.</p><p /><p>The GMC also sets the standards expected at undergraduate level and approves medical school curricula.  In so doing, they set out the knowledge, skills and behaviours that new United Kingdom medical graduates must be able to demonstrate. This is further detailed at the following link:</p><p> </p><p><a href="http://www.gmc-uk.org/education/undergraduate/undergrad_outcomes.asp" target="_blank">http://www.gmc-uk.org/education/undergraduate/undergrad_outcomes.asp</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 186380 question first answered 05/11/2018 15:50:35 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4456 label Biography information for Jeff Smith

999297

registered interest
date	31/10/2018
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 Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of health visitors in (a) England, (b) London and (c) the London Borough of Lewisham in each of the last 10 years.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	186402
answer	answer is ministerial correction date of answer 07/11/2018 answer text <p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics for England. These include staff working in hospital trusts and clinical commissioning groups (CCGs), but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.</p><p> </p><p>The following table shows the full time equivalent (FTE) figures of health visitors in England, London and the London Borough of Lewisham as at 30 September in the specified years and the latest available data.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>England</p></td><td><p>Of which: London</p></td><td><p>Of which: London Borough of Lewisham</p></td></tr><tr><td><p>2007</p></td><td><p>8,959</p></td><td><p>1,308</p></td><td><p>68</p></td></tr><tr><td><p>2008</p></td><td><p>8,644</p></td><td><p>1,276</p></td><td><p>66</p></td></tr><tr><td><p>2009</p></td><td><p>8,100</p></td><td><p>1,125</p></td><td><p>45</p></td></tr><tr><td><p>2010</p></td><td><p>7,849</p></td><td><p>1,074</p></td><td><p>39</p></td></tr><tr><td><p>2011</p></td><td><p>7,802</p></td><td><p>1,056</p></td><td><p>43</p></td></tr><tr><td><p>2012</p></td><td><p>7,687</p></td><td><p>1,118</p></td><td><p>34</p></td></tr><tr><td><p>2013</p></td><td><p>8,304</p></td><td><p>1,193</p></td><td><p>37</p></td></tr><tr><td><p>2014</p></td><td><p>9,162</p></td><td><p>1,411</p></td><td><p>58</p></td></tr><tr><td><p>2015</p></td><td><p>10,236</p></td><td><p>1,639</p></td><td><p>62</p></td></tr><tr><td><p>2016</p></td><td><p>9,521</p></td><td><p>1,556</p></td><td><p>67</p></td></tr><tr><td><p>2017</p></td><td><p>8,497</p></td><td><p>1,307</p></td><td><p>66</p></td></tr><tr><td><p>31 July 2018</p></td><td><p>7,852</p></td><td><p>1,259</p></td><td><p>58</p></td></tr></tbody></table><p>Source: NHS HCHS monthly workforce statistics, NHS Digital</p><p> </p><p>Due to changes in the data collection and processing methodology, figures for 2007 and 2008 are not directly comparable to figures from September 2009 onwards.</p><p> </p><p>Since September 2015 NHS Digital has been collecting Independent Healthcare Provider Workforce statistics. These statistics are collected biannually and published as experimental statistics. The following table shows the FTE figures of health visitors employed by Independent Healthcare Providers in England, as at 30 September each year since 2015 and the latest data available:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2015</p></td><td><p>2016</p></td><td><p>2017</p></td><td><p>31 March 2018</p></td></tr><tr><td><p>England</p></td><td><p>957</p></td><td><p>1,132</p></td><td><p>1,240</p></td><td><p>1,187</p></td></tr></tbody></table><p>Source: Independent Healthcare Provider Workforce Statistics, England, March 2018, NHS Digital</p><p> </p><p>Information is not held centrally on the number of health visitors in London and the London Borough of Lewisham from independent healthcare providers.</p><p> </p><p>As health visitors are employed by a range of organisations, including National Health Service trusts, CCGs, local authorities and private providers, current data collections do not cover the complete range of these organisations. Consequently, it is not possible to provide accurate data on the total size of the health visitor workforce.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/11/2018 12:39:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4491 label Biography information for Vicky Foxcroft

999404

registered interest
date	31/10/2018
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 Services
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 publish the visits he has undertaken to (a) adult mental health services and (b) children and young people's mental health services since he took office.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	186311
answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>Since the Secretary of State took office, he has been on several visits to National Health Service trusts, foundation trusts and other health care organisations across the country, many of which may include aspects of mental health. In addition, he has undertaken specific visits that focused on mental health: firstly, to Central and North West London NHS Foundation Trust on 31 October and secondly to Northumberland Tyne and Wear NHS Foundation Trust on 23 July 2018.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/11/2018 15:51:45 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger