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1105464

registered interest
date	27/03/2019
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	Mental Health Services: Waiting Lists
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 statement in the NHS Long Term Plan that four-week waiting times for adult and older adult community mental health teams including for eating disorders will be tested with selected local areas, what the timetable is for those targets to be introduced; and whether funding will be allocated to areas to support these tests.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	237693
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>The NHS Long Term Plan commits to “test four-week waiting times for adult and older adult community mental health teams, with selected local areas”.</p><p> </p><p>The ‘Clinically-led Review of NHS Access Standards’ Interim Report, published in March 2019, states that NHS England will test four-week waiting times for adult and older adult community mental health teams with selected local areas. As part of this work, the report states that NHS England will “consider the interfaces with specialist community mental health services, particularly where there is an existing evidence base for rapid direct access, such as adult eating disorder services, or early intervention in psychosis services, for which there is already a national access and waiting time standard in place.”</p><p> </p><p>The interim report sets out the initial proposals for testing changes to access standards in mental health services, cancer care, elective care and urgent and emergency care. The proposals will be field tested at a selection of pilot sites across England, before wider implementation. The information gathered through field testing and engagement will inform final recommendations from this Review, and ahead of full implementation beginning spring 2020.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/04/2019 14:48:09 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4433 label Biography information for Thangam Debbonaire

1105549

registered interest
date	27/03/2019
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	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 steps his Department is taking to help prevent the misdiagnosis of sexual abuse survivors with complex post-traumatic stress disorder.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	237592
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>NHS England’s Strategic Direction for Sexual Assault and Abuse Services sets out a clear ambition and a programme of work to improve awareness and training across the workforce, so that victims and survivors will be better able to access specialised services, safeguarding will be enhanced, the quality of care received improved and ultimately patient experience and outcomes heightened.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 01/04/2019 15:43:01 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	308 label Biography information for Mr Jim Cunningham

1105574

registered interest
date	27/03/2019
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	Urinary Tract Infections: Screening
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 gold-standard urinary tract infections test kit used by the NHS.
tabling member constituency	Tooting
tabling member printed	Dr Rosena Allin-Khan
uin	237733
answer	answer is ministerial correction date of answer 05/04/2019 answer text <p>The phrase global or gold standard test is sometimes used to refer to dipstick strip, which are available in home kits, and urine culture tests for urinary tract infection (UTI). The way in which laboratories determine if a UTI is present involves screening tests to look for human cells/blood/protein in the urine, which can be done by machines or using dipsticks, followed by culturing urine to determine if UTI pathogens are present and in sufficient numbers. This second stage process relies on bacterial media/culture techniques and is usually not a specific ‘kit’. If a pathogen is present then the third stage is to determine the antibiotic susceptibility profile of the bacteria.</p><p> </p><p>Guidance on identification and treatment of UTI has been published for different age groups and clinical settings. The National Institute for Health and Care Excellence have published guidance for under 16s at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/cg54" target="_blank">https://www.nice.org.uk/guidance/cg54</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/04/2019 11:13:08 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4573 label Biography information for Dr Rosena Allin-Khan

1105611

registered interest
date	27/03/2019
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	NHS: Staff
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 are working on the NHS.UK programme are (a) contingent labour, (b) supplier resource and (c) civil servants.
tabling member constituency	Hemsworth
tabling member printed	Jon Trickett
uin	237604
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>The information requested is shown in the following table:</p><p> </p><table><tbody><tr><td><p>Programme</p></td><td><p>Contingent labour</p></td><td><p>Supplier resource<sup>1</sup></p></td><td><p>NHS Digital/NHS Business Services Authority employees<sup>2</sup></p></td><td><p>Civil servants</p></td></tr><tr><td><p>NHS.UK programme</p></td><td><p>9</p></td><td><p>n/a</p></td><td><p>125</p></td><td><p>0</p></td></tr><tr><td><p>NHS e-Referral Service</p></td><td><p>2</p></td><td><p>3</p></td><td><p>39</p></td><td><p>0</p></td></tr><tr><td><p>IT Infrastructure Sourcing programme</p></td><td><p>10</p></td><td><p>n/a</p></td><td><p>19</p></td><td><p>0</p></td></tr></tbody></table><p>Source: NHS Digital and NHS Business Services Authority</p><p> </p><p>Notes:</p><p><sup>1</sup>Contracts with suppliers are for the delivery of a service rather than resources. The primary supplier for the NHS e-Referral Service provides three staff who work on site.</p><p><sup> </sup></p><p><sup>2</sup>NHS Digital and NHS Business Services Authority employees are public servants employed on NHS terms and conditions. The figures include those staff employed on a permanent or fixed term basis within NHS Digital and the NHS Business Services Authority.</p><p> </p><p>The figures for the NHS.UK programme and the NHS e-Referral Service represent full time equivalents assigned to the programme or service in March 2019, to the nearest whole number.</p><p> </p><p>The IT Infrastructure Sourcing programme is being delivered by the NHS Business Services Authority. The figures for this programme represent resources dedicated to the delivery of the programme and do not include NHS Business Services Authority staff who supplement delivery with specific skills. Figures for continent labour were correct at the end of March 2019. From 1 April 2019, contingent labour decreases to four, as a result of the programme moving out of the procurement/design phase and into delivery.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 237605 237606 question first answered 04/04/2019 14:51:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	410 label Biography information for Jon Trickett

1105614

registered interest
date	27/03/2019
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	NHS: Staff
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 working on the NHS e-Referral Service are (a) contingent labour, (b) supplier resource and (c) civil servants.
tabling member constituency	Hemsworth
tabling member printed	Jon Trickett
uin	237605
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>The information requested is shown in the following table:</p><p> </p><table><tbody><tr><td><p>Programme</p></td><td><p>Contingent labour</p></td><td><p>Supplier resource<sup>1</sup></p></td><td><p>NHS Digital/NHS Business Services Authority employees<sup>2</sup></p></td><td><p>Civil servants</p></td></tr><tr><td><p>NHS.UK programme</p></td><td><p>9</p></td><td><p>n/a</p></td><td><p>125</p></td><td><p>0</p></td></tr><tr><td><p>NHS e-Referral Service</p></td><td><p>2</p></td><td><p>3</p></td><td><p>39</p></td><td><p>0</p></td></tr><tr><td><p>IT Infrastructure Sourcing programme</p></td><td><p>10</p></td><td><p>n/a</p></td><td><p>19</p></td><td><p>0</p></td></tr></tbody></table><p>Source: NHS Digital and NHS Business Services Authority</p><p> </p><p>Notes:</p><p><sup>1</sup>Contracts with suppliers are for the delivery of a service rather than resources. The primary supplier for the NHS e-Referral Service provides three staff who work on site.</p><p><sup> </sup></p><p><sup>2</sup>NHS Digital and NHS Business Services Authority employees are public servants employed on NHS terms and conditions. The figures include those staff employed on a permanent or fixed term basis within NHS Digital and the NHS Business Services Authority.</p><p> </p><p>The figures for the NHS.UK programme and the NHS e-Referral Service represent full time equivalents assigned to the programme or service in March 2019, to the nearest whole number.</p><p> </p><p>The IT Infrastructure Sourcing programme is being delivered by the NHS Business Services Authority. The figures for this programme represent resources dedicated to the delivery of the programme and do not include NHS Business Services Authority staff who supplement delivery with specific skills. Figures for continent labour were correct at the end of March 2019. From 1 April 2019, contingent labour decreases to four, as a result of the programme moving out of the procurement/design phase and into delivery.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 237604 237606 question first answered 04/04/2019 14:51:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	410 label Biography information for Jon Trickett

1105616

registered interest
date	27/03/2019
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	NHS: Staff
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 working on the IT Infrastructure Sourcing Programme are (a) contingent labour, (b) supplier resource and (c) civil servants.
tabling member constituency	Hemsworth
tabling member printed	Jon Trickett
uin	237606
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>The information requested is shown in the following table:</p><p> </p><table><tbody><tr><td><p>Programme</p></td><td><p>Contingent labour</p></td><td><p>Supplier resource<sup>1</sup></p></td><td><p>NHS Digital/NHS Business Services Authority employees<sup>2</sup></p></td><td><p>Civil servants</p></td></tr><tr><td><p>NHS.UK programme</p></td><td><p>9</p></td><td><p>n/a</p></td><td><p>125</p></td><td><p>0</p></td></tr><tr><td><p>NHS e-Referral Service</p></td><td><p>2</p></td><td><p>3</p></td><td><p>39</p></td><td><p>0</p></td></tr><tr><td><p>IT Infrastructure Sourcing programme</p></td><td><p>10</p></td><td><p>n/a</p></td><td><p>19</p></td><td><p>0</p></td></tr></tbody></table><p>Source: NHS Digital and NHS Business Services Authority</p><p> </p><p>Notes:</p><p><sup>1</sup>Contracts with suppliers are for the delivery of a service rather than resources. The primary supplier for the NHS e-Referral Service provides three staff who work on site.</p><p><sup> </sup></p><p><sup>2</sup>NHS Digital and NHS Business Services Authority employees are public servants employed on NHS terms and conditions. The figures include those staff employed on a permanent or fixed term basis within NHS Digital and the NHS Business Services Authority.</p><p> </p><p>The figures for the NHS.UK programme and the NHS e-Referral Service represent full time equivalents assigned to the programme or service in March 2019, to the nearest whole number.</p><p> </p><p>The IT Infrastructure Sourcing programme is being delivered by the NHS Business Services Authority. The figures for this programme represent resources dedicated to the delivery of the programme and do not include NHS Business Services Authority staff who supplement delivery with specific skills. Figures for continent labour were correct at the end of March 2019. From 1 April 2019, contingent labour decreases to four, as a result of the programme moving out of the procurement/design phase and into delivery.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 237604 237605 question first answered 04/04/2019 14:51:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	410 label Biography information for Jon Trickett

1105641

registered interest
date	27/03/2019
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	Eating Disorders
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 Government is going to meet the targets for referral to treatment of individuals with eating disorders of (a) four weeks for under-19s and (b) one week for the most severe cases.
tabling member constituency	Angus
tabling member printed	Kirstene Hair
uin	237759
answer	answer is ministerial correction date of answer 03/04/2019 answer text <p>The National Health Service is making good progress towards the children and young people’s eating disorder waiting time target, with latest data for Quarter 3 2018/19 (October – December 2018) showing that 80.7% of young people started treatment for an urgent case within one week against a target of 95% by 2020/21. This report also showed that 86.8% of young people started treatment for a routine case within four weeks against a target of 95% by 2020/21.</p><p> </p><p>This data is available at the following link:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/cyped-waiting-times/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/cyped-waiting-times/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/04/2019 11:20:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4675 label Biography information for Kirstene Hair

1105643

registered interest
date	27/03/2019
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	Eating Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions his Department has had with eating disorders clinicians on how to improve (a) treatment wait times, (b) inpatient care, (c) outpatient care and (d) post-treatment support.
tabling member constituency	Angus
tabling member printed	Kirstene Hair
uin	237761
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>It is the role of the National Institute for Health and Care Excellence (NICE) to provide evidence and guidance to the National Health Service on healthcare. NICE has published guidance on the recognition and treatment of people with eating disorders. NICE guidelines are based on the best available evidence, with recommendations put together by clinical experts, people using services, carers and the public.</p><p> </p><p>The ‘eating disorders: recognition and treatment guideline’ (NG 69) was published in 2004 and revised in 2017. It includes information on inpatient and day patient treatment, and monitoring people not in treatment. It is available at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/NG69" target="_blank">https://www.nice.org.uk/guidance/NG69</a></p><p> </p><p>For waiting times, NHS England commissioned the National Collaborating Centre for Mental Health (NCCMH) to develop the ‘Access and Waiting Time Standard for Children and Young People with an Eating Disorder’ Commissioning Guide. The guidance sets out how commissioners and providers should improve treatment pathways to meet the access and waiting time standard.</p><p> </p><p>To inform the work of the team that drafted the guide, the NCCMH set up an Expert Reference Group made up of professionals and clinicians from specialist and technical areas. The guide therefore builds on views from over 700 professionals and 1,700 children and young people.</p><p> </p><p>The guidance was published in 2015 and is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2015/07/cyp-eating-disorders-access-waiting-time-standard-comm-guid.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2015/07/cyp-eating-disorders-access-waiting-time-standard-comm-guid.pdf</a></p><p> </p><p>The ‘Clinically-led Review of NHS Access Standards’ Interim Report, published in March, states that NHS England will test four-week waiting times for adult and older adult community mental health and it is expected that eating disorders will be included in this. The proposals will be field tested at a selection of pilot sites across England, before wider implementation. Alongside the field testing, engagement will take place across the health service before making recommendations to the Government and full implementation beginning spring 2020.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/04/2019 14:46:49 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4675 label Biography information for Kirstene Hair

1105699

registered interest
date	27/03/2019
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	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, what steps he has taken to ensure the (a) impartiality and (b) independence of panels members on the Commission on Human Medicines’ independent scientific review of the publication by Professor Carl Heneghan into hormone pregnancy tests.
tabling member constituency	Bolton South East
tabling member printed	Yasmin Qureshi
uin	237673
answer	answer is ministerial correction date of answer 04/04/2019 answer text <p>Since publication of the report of the Commission on Human Medicines Expert Working Group on Hormone Pregnancy Tests (HPTs) the Government has committed to review any important new evidence that arises. In response to publication of the study by Heneghan et al. the Commission on Human Medicines convened an Expert Group to advise on the suitability and robustness of the methodology (including the selection and application of the data quality score) and any clinical implications.</p><p> </p><p>To ensure impartiality none of the members of the Group was involved in the previous review by the Expert Working Group on HPTs. A specific conflict of interest policy was developed and all participants were required to complete and sign a declaration of interests form. Participants were asked to declare personal or non-personal interests in the companies who marketed HPTs or whose predecessors marketed them, current or previous involvement in any studies or reviews on HPTs, the expression in public of a strong opinion about HPTs or any of the companies that produced them, and direct or indirect involvement with, or peer review of, the publication by Heneghan et al. The conflict of interest policy and declarations of participants will be made public in due course.</p><p> </p><p>For complete transparency the meeting was observed by the Chair of the Association for Children Damaged by HPTs, an advocate for those affected by thalidomide, a Lay representative and a representative from the Independent Medicines and Medical Devices Safety Review.</p><p> </p><p>In parallel, the European Medicines Agency is conducting an independent review of the publication by Heneghan et al. Both reviews are ongoing, and we expect the conclusions to be made public within a month of their completion, likely to be May 2019.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 237674 question first answered 04/04/2019 13:11:53 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3924 label Biography information for Yasmin Qureshi

1105723

registered interest
date	27/03/2019
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	Life Expectancy
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 trends in life expectancy over the last ten years.
tabling member constituency	Cardiff Central
tabling member printed	Jo Stevens
uin	237777
answer	answer is ministerial correction date of answer 01/04/2019 answer text <p>Average life expectancy at birth in England has been increasing for men and women and is currently around its highest ever. However, improvements in life expectancy have slowed for both males and females since 2011, and average life expectancy in England is currently stable.</p><p> </p><p>The Department published a vision for putting prevention at the heart of the nation's health in November 2018 which set out an ambition for everyone to enjoy at least five extra healthy, independent years of life by 2035 and to reduce the gap between the richest and poorest. Later this year we plan to publish a prevention Green Paper which will set out cross-Government plans for prevention in greater detail.</p><p> </p><p>We are working across Government and with partners nationally and locally to deal with the conditions that make people ill in the first place. We already have world leading programmes for example on childhood obesity and tobacco control, prevention of diabetes and heart disease. We now need to go further to make sure we are targeting our efforts where the need is greatest.</p><p> </p><p>The NHS Long Term Plan sets out new funded action the National Health Service will take to strengthen its contribution to prevention and health inequalities. All major national programmes and every local area across England will be required to set out specific measurable goals and mechanisms by which they will contribute to narrowing health inequalities over the next five and 10 years.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 237778 question first answered 01/04/2019 15:44:19 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4425 label Biography information for Jo Stevens