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521222

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Food
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure (a) outsourcing of the preparation and cooking of hospital food and (b) the use of cook-chill systems by contractors meet the nutritional standards set within NHS outsourced food contracts.
tabling member constituency	Salford and Eccles
tabling member printed	Rebecca Long Bailey
uin	38383
answer	answer is ministerial correction date of answer 27/05/2016 answer text <p>The Department has worked with NHS England to ensure that food standards are written into the NHS Standard Contract 2016/17, the key document governing the purchase and provision of National Health Services. Irrespective of the food service type, all National Health Service providers are obliged, under the terms of their legally-binding contracts with commissioners, to adhere to the hospital food standards for the National Health Service as recommended by the Hospital Food Standards Panel in August 2014. The recommendations are published at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/establishing-food-standards-for-nhs-hospitals" target="_blank">https://www.gov.uk/government/publications/establishing-food-standards-for-nhs-hospitals</a></p><p> </p><p>It is for local NHS providers to determine which food service type they use.</p><p> </p><p>Whilst the Department has not conducted specific research, the Patient-led Assessments of the Care Environment does include questions relating to:</p><p>- Compliance with the following food standards relevant to patient nutrition and hydration:</p><p>― The 10 Key Characteristics of Good Nutritional Care, (NHS England)</p><p>― Nutrition and Hydration Digest, (British Dietetic Association)</p><p>― Malnutrition Universal Screening Tool or equivalent, (British Association for Parenteral and Enteral Nutrition)</p><p>― Government Buying Standards for Food and Catering Services, (Defra)</p><p>― Food quality including taste, texture and temperature</p><p>- the menu as being approved by a registered dietitian as being capable of providing an appropriate balanced diet for all patients.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 38196 38212 question first answered 27/05/2016 11:34:55 answering member 4020 label Biography information for George Freeman
tabling member	4396 label Biography information for Rebecca Long Bailey

521225

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Food
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to promote onsite preparation and cooking of fresh food in hospitals.
tabling member constituency	Salford and Eccles
tabling member printed	Rebecca Long Bailey
uin	38196
answer	answer is ministerial correction date of answer 27/05/2016 answer text <p>The Department has worked with NHS England to ensure that food standards are written into the NHS Standard Contract 2016/17, the key document governing the purchase and provision of National Health Services. Irrespective of the food service type, all National Health Service providers are obliged, under the terms of their legally-binding contracts with commissioners, to adhere to the hospital food standards for the National Health Service as recommended by the Hospital Food Standards Panel in August 2014. The recommendations are published at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/establishing-food-standards-for-nhs-hospitals" target="_blank">https://www.gov.uk/government/publications/establishing-food-standards-for-nhs-hospitals</a></p><p> </p><p>It is for local NHS providers to determine which food service type they use.</p><p> </p><p>Whilst the Department has not conducted specific research, the Patient-led Assessments of the Care Environment does include questions relating to:</p><p>- Compliance with the following food standards relevant to patient nutrition and hydration:</p><p>― The 10 Key Characteristics of Good Nutritional Care, (NHS England)</p><p>― Nutrition and Hydration Digest, (British Dietetic Association)</p><p>― Malnutrition Universal Screening Tool or equivalent, (British Association for Parenteral and Enteral Nutrition)</p><p>― Government Buying Standards for Food and Catering Services, (Defra)</p><p>― Food quality including taste, texture and temperature</p><p>- the menu as being approved by a registered dietitian as being capable of providing an appropriate balanced diet for all patients.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 38212 38383 question first answered 27/05/2016 11:34:55 answering member 4020 label Biography information for George Freeman
tabling member	4396 label Biography information for Rebecca Long Bailey

521226

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Out of Area Treatment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make it his policy to define a target for the number of out-of-area placements for non-specialist mental health care.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	38246
answer	answer is ministerial correction date of answer 27/05/2016 answer text <p>In April 2016, the Government announced a national ambition to eliminate inappropriate out of area treatments for adult acute inpatient care as a result of local acute bed pressures by 2020/21 at the latest. We expect areas to put in place local action plans and achieve year on year reductions from 2016/17.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 27/05/2016 11:57:25 answering member 1201 label Biography information for Alistair Burt
tabling member	4036 label Biography information for Luciana Berger

521230

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Food
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what research his Department has conducted on the effect on levels of food waste in hospitals of changing provision of food from in-house kitchen preparation to a cook-chill or cook-freeze system.
tabling member constituency	Salford and Eccles
tabling member printed	Rebecca Long Bailey
uin	38193
answer	answer is ministerial correction date of answer 27/05/2016 answer text <p>The Department has not conducted research on the subject requested. Data on unserved patient meals was collected through the Estates Returns Information Collection until 2013-14, but it excluded data on waste generated during food production and waste from uneaten patient meals. The question was removed from the 2014-15 collection onwards as the data did not present an accurate picture for all food waste.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 27/05/2016 11:28:31 answering member 4020 label Biography information for George Freeman
tabling member	4396 label Biography information for Rebecca Long Bailey

521234

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Endometriosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the Answer of 9 May 2016 to Question 36176, what steps his Department is taking to support research to develop a non-invasive diagnostic technique for endometriosis.
tabling member constituency	Wealden
tabling member printed	Nusrat Ghani
uin	38272
answer	answer is ministerial correction date of answer 27/05/2016 answer text <p>The Department's National Institute for Health Research (NIHR) welcomes funding applications for research into any aspect of human health, including diagnosis of endometriosis. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p><p> </p><p>The Director of the NIHR Diagnostic Evidence Cooperative Oxford, University of Oxford, provided mentorship and methodological expertise to support a recent systematic review and meta-analysis of the diagnostic accuracy of cancer antigen 125 for endometriosis. This was published in May this year in <em>BJOG: An International Journal of Obstetrics and Gynaecology</em>.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 27/05/2016 11:25:06 answering member 4020 label Biography information for George Freeman
tabling member	4460 label Biography information for Ms Nusrat Ghani

521235

registered interest
date	24/05/2016
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, if the NHS will distinguish between sexuality and gender identity in the collection of data for people accessing Improving Access to Psychological Therapies services.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	38247
answer	answer is ministerial correction date of answer 27/05/2016 answer text <p>The Improving Access to Psychological Therapies dataset does not currently make the distinction between sexuality and gender identity. The dataset has two fields that may be of relevance to this question:</p><p> </p><p>Sexual orientation, which is the current sexual orientation of a person and has the following valid codes:</p><table><tbody><tr><td><p>1</p></td><td><p>Heterosexual</p></td></tr><tr><td><p>2</p></td><td><p>Homosexual Gay/Lesbian</p></td></tr><tr><td><p>3</p></td><td><p>Bi-sexual</p></td></tr><tr><td><p>4</p></td><td><p>Person asked and does not know or is not sure</p></td></tr><tr><td><p>9</p></td><td><p>Unknown</p></td></tr><tr><td><p>Z</p></td><td><p>Not stated (Person asked but declined to provide a response)</p></td></tr></tbody></table><p> </p><p>Gender, which is the current gender of a person. Note that the classification is phenotypical rather than genotypical; i.e. it does not provide codes for medical or scientific purposes. It has the following valid codes:</p><table><tbody><tr><td><p>0</p></td><td><p>Not known</p></td></tr><tr><td><p>1</p></td><td><p>Male</p></td></tr><tr><td><p>2</p></td><td><p>Female</p></td></tr><tr><td><p>9</p></td><td><p>Not specified</p></td></tr></tbody></table> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 27/05/2016 12:20:22 answering member 1201 label Biography information for Alistair Burt
tabling member	4036 label Biography information for Luciana Berger

521247

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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, whether he has plans to encourage mental health providers to use social technology as a part of therapeutic treatments for young people.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	38299
answer	answer is ministerial correction date of answer 27/05/2016 answer text <p><em>Future in Mind</em> suggests there is a need to incentivise self-care by designing mental health apps targeted at children and young people to strengthen resilience, support and individual capacity for self-care.</p><p> </p><p>This has been achieved by establishing a children and young people’s category within the new NHS England Innovation fund for mental health to develop apps for cognitive behavioural therapy and self-harm and suicide prevention, amongst others. In conjunction with this work we are also assessing the potential need for quality assurance controls for mental health apps.</p><p> </p><p>The Department is currently considering providing access to both high quality and reliable information and support online through a national branded portal established on NHS Choices.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 27/05/2016 12:21:21 answering member 1201 label Biography information for Alistair Burt
tabling member	411 label Biography information for Mr Barry Sheerman

521248

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Media and Technology: Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department has made an assessment of the (a) mental and (b) physical health risks to young people of social media and technology.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	38295
answer	answer is ministerial correction date of answer 27/05/2016 answer text <p>The Department has made no formal assessment of the risks to mental or physical health presented to young people by social media and related technologies. However, the Department, working with Xenzone (a provider of online counselling services) has funded the development of an online risk module for health professionals, designed to give them an understanding of the digital world, so that they can learn to distinguish between ‘normal online behaviour’ and potentially dangerous activity.</p><p>The Department has commissioned the Health and Social Care Information Centre to carry out a survey of the mental health of children and young people. Public consultation on the content of that survey called for the inclusion of questions on the impact that social media may be having on the mental health of children and young people. A national report on the findings of the survey will be published in 2018, the first such survey since 2004.</p><p>The clearest physical health risk arises from the fact that children and young people who spend long periods online are not exercising during that time. The four Home Country Chief Medical Officers (CMOs) published United Kingdom-wide guidelines for the amount of physical activity required across the life-course (including children and young people) in July 2011. The CMOs also included advice to restrict sedentary behaviour (long periods of sitting) including use of computers, for all age groups.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 27/05/2016 12:00:22 answering member 1201 label Biography information for Alistair Burt
tabling member	411 label Biography information for Mr Barry Sheerman

521256

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Palliative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many patients were subject to do not resuscitate orders in the last year for which figures are available.
tabling member constituency	Stoke-on-Trent South
tabling member printed	Robert Flello
uin	38117
answer	answer is ministerial correction date of answer 27/05/2016 answer text <p>This information is not collected centrally.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 27/05/2016 11:27:44 answering member 3988 label Biography information for Ben Gummer
tabling member	1569 label Biography information for Robert Flello

521257

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Palliative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance his Department provides to district nurses on discussing do not resuscitate orders with patients and next of kin.
tabling member constituency	Stoke-on-Trent South
tabling member printed	Robert Flello
uin	38118
answer	answer is ministerial correction date of answer 27/05/2016 answer text <p>The Department has not itself issued guidance on this subject, but has commended to National Health Service trusts and NHS foundation trusts guidance for healthcare professionals prepared jointly by the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing entitled <em>Decisions relating to cardiopulmonary resuscitation</em>. The latest version of the guidance was published in October 2014 and took account of the Court of Appeal’s judgment, handed down in June 2014, in the case of <em>R (on the application of Tracey) v (1) Cambridge University Hospitals NHS Foundation Trust (2) Secretary of State for Health. </em>The Court of Appeal concluded that there was duty to consult a patient, or those close to the patient, about a Do Not Attempt Cardiopulmonary Resuscitation decision unless that consultation is likely to cause physical or psychological harm to the patient.</p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 38119 question first answered 27/05/2016 11:23:18 answering member 3988 label Biography information for Ben Gummer
tabling member	1569 label Biography information for Robert Flello