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1135767

registered interest
date	01/07/2019
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	Self-harm: 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, what steps his Department is taking to support people who self-harm.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	271449
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>The Prime Minister recently announced that tailored advice will be provided to parents on supporting their children’s mental health and well-being, including information on subjects such as stress, screen time, online bullying, body image and self-harm. This will be developed by Public Health England by 2020. This will accompany advice provided to children and young people through Public Health England’s Rise Above programme on dealing with difficult emotions and situations that can lead to problems such as stress, bullying and self-harm.</p><p> </p><p>We are aware of a rise in young people self-harming, which is why we included a new key area for action to address self-harming in the cross-Government National Suicide Prevention Strategy in 2017. Our close work with the Home Office and the Department for Digital, Culture, Media and Sport on their Online Harms White Paper will also help to tackle online harms associated with harmful suicide and self-harm content across the internet, including social media.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/07/2019 13:37:18 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

1135928

registered interest
date	01/07/2019
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	Attention Deficit Hyperactivity Disorder: 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, what information his Department holds on the number of patients with ADHD that access NHS Mental Health services.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	271597
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>NHS Digital holds information on people in contact with secondary care mental health services who have a recorded diagnosis of attention deficit hyperactivity disorder (ADHD) or hyperactivity. However, as these statistics do not include people diagnosed with these conditions who are only in contact with primary care services, such as their general practitioner, these are an undercount of the total number of people with these diagnoses.</p><p> </p><p>Treatment and service use, by Adult ADHD Self-Report Scale (ASRS) score.</p><p> </p><table><tbody><tr><td><p>All adults</p></td><td colspan="3"><p>2014</p></td></tr><tr><td><p> </p></td><td colspan="3"><p>ASRS score<sup>a</sup></p></td></tr><tr><td><p>Treatment and services</p></td><td><p>0-3</p></td><td><p>4 or more</p></td><td><p>All 6</p></td></tr><tr><td><p>-</p></td><td><p>%</p></td><td><p>%</p></td><td><p>%</p></td></tr><tr><td><p>Current treatment for a mental or emotional problem</p></td></tr><tr><td><p>No treatment</p></td><td><p>89.2</p></td><td><p>65.7</p></td><td><p>78.5</p></td></tr><tr><td><p>Medication only</p></td><td><p>8.6</p></td><td><p>24.3</p></td><td><p>19.2</p></td></tr><tr><td><p>Counselling or therapy only</p></td><td><p>1.4</p></td><td><p>2.8</p></td><td><p>-</p></td></tr><tr><td><p>Medication and counselling</p></td><td><p>0.9</p></td><td><p>7.2</p></td><td><p>2.4</p></td></tr><tr><td><p>Service use</p></td></tr><tr><td><p>Any current counselling or therapy</p></td><td><p>2.2</p></td><td><p>10.1</p></td><td><p>2.4</p></td></tr><tr><td><p>Any health care service use for a mental or emotional problem</p></td><td><p>10.0</p></td><td><p>37.4</p></td><td><p>40.0</p></td></tr><tr><td><p>Any community care service in past year</p></td><td><p>5.9</p></td><td><p>19.6</p></td><td><p>19.7</p></td></tr><tr><td><p>Any day care service in past year</p></td><td><p>3.8</p></td><td><p>9.3</p></td><td><p>10.9</p></td></tr><tr><td><p>Bases</p></td><td><p>6,829</p></td><td><p>708</p></td><td><p>44</p></td></tr></tbody></table><p> </p><p>Notes:</p><p>The ASRS (Adult ADHD Self-Report Scale) is described in Section 8.2. A score of 4 or more is considered a positive screen for ADHD. The ‘4 or more’ group include those with a score of 6 on the ASRS.</p><p>Source: APMS 2014, NHS Digital</p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/07/2019 16:02:48 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4657 label Biography information for Anneliese Dodds

1135932

registered interest
date	01/07/2019
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	Attention Deficit Hyperactivity Disorder: 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, when his department plans to publish the pathway for people with ADHD.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	271598
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>NHS services should be following guidance published by the National Institute for Health and Care Excellence (NICE) on ‘Attention deficit hyperactivity disorder (ADHD): diagnosis and management (NICE guideline 87)’, which was revised in April 2018. This covers recognising, diagnosing and managing ADHD in children, young people and adults. It aims to improve recognition and diagnosis, as well as the quality of care and support for people with ADHD.</p><p>NHS England is developing new mental health pathways for adults, children and young people with mental health diagnoses and co-morbid neurodevelopmental disorders. These could benefit people with autism, ADHD and other neurodevelopmental disorders who have mental health needs by facilitating better and faster diagnosis.</p><p>There is no confirmed publication date for these pathways.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/07/2019 13:26:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4657 label Biography information for Anneliese Dodds

1135934

registered interest
date	01/07/2019
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	Healthy Start Scheme
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 estimate he has made of (a) the value of eligible Healthy Start vouchers that have not been used in (i) England, (ii) London and (ii) Ealing; and (b) the cost to the public purse on promoting Healthy Start vouchers in the last 12 months.
tabling member constituency	Ealing Central and Acton
tabling member printed	Dr Rupa Huq
uin	271516
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>It is not possible to provide information on the value of vouchers that have not been used in a geographical area. Vouchers are sent to a specific address but they can be spent in any location. We do not track where individuals choose to spend their vouchers and therefore cannot monitor unused vouchers by specific location</p><p> </p><p>Funding allocated to the Healthy Start scheme is accounted through a single cost centre together with the Nursery Milk scheme. A split by individual scheme is therefore not available. In 2017-18 funding for these schemes was £104,709,791. Audited spend data for the 2018-19 financial year is not yet available. This includes funding for the Healthy Start website which costs approximately £12,000 per year and which, together with the Start4Life website, promotes the Healthy Start scheme to the public and retailers.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/07/2019 13:21:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4511 label Biography information for Dr Rupa Huq

1136002

registered interest
date	01/07/2019
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	Abortion
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant of his Answer of 16 May 2019 to Question 252526 on the Royal College of Obstetricians and Gynaecologists, what steps his Department takes to ensure that no conflict of interest occurs in the drafting of clinical guidelines on abortion procedures by the Royal College of Obstetricians and Gynaecologists.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	271438
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The Royal College of Obstetricians and Gynaecologists (RCOG) is a professional membership association, independent of Government. The RCOG produces guidelines as an aid to good clinical practice and as the national medical authority on abortion, they are best placed to determine the content of guidance based on published evidence.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:01:33 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1136004

registered interest
date	01/07/2019
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	Spina Bifida: Surgery
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 14 February 2019 to Question 217544 on Spina Bifida: Surgery, what estimate he has made of the average cost of pain relief that will be administered an unborn baby prior to undergoing that fetal surgery.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	271439
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The tariff that has been developed for spina bifida fetal surgery includes an estimate of around £800 for fetal drugs which includes drugs for pain relief. However, the actual cost will vary on a case by case basis dependent on the clinical circumstances.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:14:16 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1136005

registered interest
date	01/07/2019
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	Abortion
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 has taken to ensure the (a) thorough and (b) objective scrutiny of the recommendations submitted by abortion providers to the NICE consultation on its guidance on the termination of pregnancy.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	271440
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>This is a matter for the National Institute for Health and Care Excellence (NICE), the independent body for the methods and processes used in the development of its guidance. NICE’s guidance is based on a thorough assessment of the available evidence and is developed through wide consultation with stakeholders.</p><p> </p><p>NICE will be publishing details of the feedback received from all stakeholders on the draft guidance on termination of pregnancy on its website. NICE will provide a response to all the points raised and explain how they have been addressed in the development of the recommendations, with guidance expected to be published on 25 September 2019.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:20:40 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1136043

registered interest
date	01/07/2019
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	Health: Children
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 July 2019 to Question 268980 on Health: Children, to which published research that Answer refers.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	271383
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>There are numerous published sources on adverse childhood experiences, including:</p><p>UCL Institute of Health Equity published ‘The impact of adverse experiences in the home on the health of children and young people, and inequalities in prevalence and effects’ (2016). The report is available at the following link:</p><p><a href="http://www.instituteofhealthequity.org/resources-reports/the-impact-of-adverse-experiences-in-the-home-on-children-and-young-people/impact-of-adverse-experiences-in-the-home.pdf" target="_blank">http://www.instituteofhealthequity.org/resources-reports/the-impact-of-adverse-experiences-in-the-home-on-children-and-young-people/impact-of-adverse-experiences-in-the-home.pdf</a></p><p>The Journal of Public Health published ‘Adverse childhood experiences: retrospective study to determine their impact on adult health behaviours and health outcomes in a UK population’. The report is available at the following link:</p><p><a href="https://academic.oup.com/jpubhealth/article/36/1/81/1571104?searchresult=1" target="_blank">https://academic.oup.com/jpubhealth/article/36/1/81/1571104?searchresult=1</a></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:23:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	534 label Biography information for Chris Ruane

1136051

registered interest
date	01/07/2019
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	Abortion
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 his Department's Abortion Statistics for England and Wales in 2018, how many of the 111 selective terminations were as a result of IVF treatment that was funded from the public purse.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	271445
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>This information is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:16:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1136054

registered interest
date	01/07/2019
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	Abortion
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 his Department's Abortion Statistics for England and Wales in 2018, what assessment he has made of the implications for his Department's policy of the increase in the number of repeat abortions.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	271446
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>Repeat unintended pregnancy and abortion is a complex issue associated with increased age and longer exposure to pregnancy risks. Before discharge from abortion services future contraception should be discussed with all women and contraceptive supplies offered. We are also looking at ways to increase access to contraception, which will be set out in Public Health England’s reproductive health action plan to be published this year.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:17:15 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce