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1139192

registered interest
date	16/07/2019
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	Eating Disorders: 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 he is taking to ensure that people with eating disorders receive treatment based on their mental state.
tabling member constituency	Peterborough
tabling member printed	Ms Lisa Forbes
uin	277857
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>All patients should receive necessary treatment appropriate to their individual circumstances.</p><p>National Institute for Health and Care Excellence guidelines suggest that eating disorder specialists and other healthcare teams should collaborate to support effective treatment of physical or mental health comorbidities in people with an eating disorder.</p><p>When collaborating, teams should use outcome measures for both the eating disorder and the physical and mental health comorbidities, to monitor the effectiveness of treatments for each condition and the potential impact they have on each other.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/07/2019 10:03:55 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4717 label Biography information for Ms Lisa Forbes

1139219

registered interest
date	16/07/2019
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	Medical Equipment: UK Notified Bodies
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 representations he has received from the medical technology sector on the capacity of Notified Bodies to meet the demand for their services under the provisions of the Medical Devices Regulation; and if he will make a statement.
tabling member constituency	Bolton West
tabling member printed	Chris Green
uin	277763
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>New European Union Regulations for medical devices (MDR) entered into force in May 2017 and will fully apply from May 2020.</p><p>The new Regulations substantially strengthen the regulatory framework for medical devices and notified bodies are having to make significant changes to meet the enhanced requirements. These changes have the aim of improving the quality, consistency and rigour of notified body assessments, which was one of the Government’s key aims for the new legislation.</p><p>Ministers have met with and received letters from industry representatives who have raised concerns about capacity in the notified body sector across the EU to support the implementation of the MDR. The Government recognises the importance of having competent notified bodies across the EU in place in sufficient time to ensure continuity of supply of products to the United Kingdom market.</p><p>For this reason, at the Employment, Social Policy, Health and Consumer Affairs (EPSCO) Council on 14 June, the Parliamentary Under-Secretary of State (Baroness Blackwood of North Oxford) raised the Government’s concerns about the readiness of critical infrastructure required to implement the MDR and the risk that some existing and new to market products will not be available to patients as a result.</p><p>We very much recognise the benefits of the new Regulations and the imperative of full implementation as soon as possible in the interests of patient safety. Therefore, at EPSCO the Government emphasised the importance of finding a coordinated solution at an EU level and we will continue to do what we can to influence these discussions.</p><p>In parallel with this activity, the Medicines and Healthcare products Regulatory Agency (MHRA) has been engaging with its notified bodies on an ongoing basis to ensure that sufficient resources are in place and notified bodies are prepared for the implementation of the new EU legislation. The MHRA is also offering a substantial amount of resource to the EU in order to support and expedite the designation process.</p><p>Through the Office for Life Sciences, the Government plans to work with stakeholders to come to a shared understanding of the issues and discuss what further mitigating action could be taken. Further engagement with industry will therefore take place in the short term.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277764 278523 question first answered 25/07/2019 10:00:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4398 label Biography information for Chris Green

1139220

registered interest
date	16/07/2019
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	Medical Devices (Amendment etc.) (EU Exit) Regulations 2019
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to seek an extension to the implementation period of the Medical Devices Regulation from the EU.
tabling member constituency	Bolton West
tabling member printed	Chris Green
uin	277764
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>New European Union Regulations for medical devices (MDR) entered into force in May 2017 and will fully apply from May 2020.</p><p>The new Regulations substantially strengthen the regulatory framework for medical devices and notified bodies are having to make significant changes to meet the enhanced requirements. These changes have the aim of improving the quality, consistency and rigour of notified body assessments, which was one of the Government’s key aims for the new legislation.</p><p>Ministers have met with and received letters from industry representatives who have raised concerns about capacity in the notified body sector across the EU to support the implementation of the MDR. The Government recognises the importance of having competent notified bodies across the EU in place in sufficient time to ensure continuity of supply of products to the United Kingdom market.</p><p>For this reason, at the Employment, Social Policy, Health and Consumer Affairs (EPSCO) Council on 14 June, the Parliamentary Under-Secretary of State (Baroness Blackwood of North Oxford) raised the Government’s concerns about the readiness of critical infrastructure required to implement the MDR and the risk that some existing and new to market products will not be available to patients as a result.</p><p>We very much recognise the benefits of the new Regulations and the imperative of full implementation as soon as possible in the interests of patient safety. Therefore, at EPSCO the Government emphasised the importance of finding a coordinated solution at an EU level and we will continue to do what we can to influence these discussions.</p><p>In parallel with this activity, the Medicines and Healthcare products Regulatory Agency (MHRA) has been engaging with its notified bodies on an ongoing basis to ensure that sufficient resources are in place and notified bodies are prepared for the implementation of the new EU legislation. The MHRA is also offering a substantial amount of resource to the EU in order to support and expedite the designation process.</p><p>Through the Office for Life Sciences, the Government plans to work with stakeholders to come to a shared understanding of the issues and discuss what further mitigating action could be taken. Further engagement with industry will therefore take place in the short term.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277763 278523 question first answered 25/07/2019 10:00:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4398 label Biography information for Chris Green

1139402

registered interest
date	16/07/2019
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	Medicine: Research
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 he has had with the Chancellor of the Exchequer on the adequacy of funding for medical R&D in advance of the Spending Review.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	277741
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care met regularly with the former Chancellor (Rt. hon Philip Hammond MP) and other Cabinet colleagues to discuss a range of issues related to funding for medical research and development.</p><p>The Department’s National Institute for Health Research (NIHR) budget for 2019/20 is just over £1 billion and welcomes funding applications for research into any aspect of human health. 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. Information on individual projects funded by the NIHR can be found at the following link:</p><p><a href="https://www.journalslibrary.nihr.ac.uk/programmes/" target="_blank">https://www.journalslibrary.nihr.ac.uk/programmes/</a></p><p>The future of budgets outside of the NHS England resource settlement, including capital budgets for research and development, will be confirmed later this year at the Spending Review 2019.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 25/07/2019 14:20:17 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

1139449

registered interest
date	16/07/2019
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 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 plans he has in place to tackle the variation in the (a) quality of health visiting services and (b) delivery of the Health Child Programme among local authorities in England.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	277600
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Government wants children to get the best start in life, recognising the lasting impact this has on health outcomes and life chances. The Department is working in partnership with Public Health England, the National Health Service and Local Government Association to modernise the Healthy Child Programme, with an initial focus on the first 1,001 days and early years, to improve a range of childhood outcomes including early development and school readiness. Health visitors, with other professionals, have an essential role supporting babies and their families.</p><p>The Interim People Plan, published in June, sets out the vision for people who work in the NHS to enable them to deliver the NHS Long Term Plan. Within this are specific plans for supporting community nurses, through growing pre-registration clinical placement capacity, a clear emphasis on high-quality learning experiences being provided within community settings. There is also a clear commitment to work with partners to identify how to support growth in the community workforce including district nursing, general practice nursing, health visitors and school nursing.</p><p>A Specialist Community and Public Health Nurse apprenticeship (Level 7) is currently in development. This will offer an alternative route directly into the health visiting profession. There are also nursing apprenticeship pathways currently in place to become a Registered Nurse, following which an individual has the option to choose to complete a postgraduate course to go onto qualify as a health visitor.</p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277601 277602 question first answered 25/07/2019 10:01:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	114 label Biography information for Tim Loughton

1139450

registered interest
date	16/07/2019
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 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 recent estimate he has made of the deficit in trained health visitors.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	277601
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Government wants children to get the best start in life, recognising the lasting impact this has on health outcomes and life chances. The Department is working in partnership with Public Health England, the National Health Service and Local Government Association to modernise the Healthy Child Programme, with an initial focus on the first 1,001 days and early years, to improve a range of childhood outcomes including early development and school readiness. Health visitors, with other professionals, have an essential role supporting babies and their families.</p><p>The Interim People Plan, published in June, sets out the vision for people who work in the NHS to enable them to deliver the NHS Long Term Plan. Within this are specific plans for supporting community nurses, through growing pre-registration clinical placement capacity, a clear emphasis on high-quality learning experiences being provided within community settings. There is also a clear commitment to work with partners to identify how to support growth in the community workforce including district nursing, general practice nursing, health visitors and school nursing.</p><p>A Specialist Community and Public Health Nurse apprenticeship (Level 7) is currently in development. This will offer an alternative route directly into the health visiting profession. There are also nursing apprenticeship pathways currently in place to become a Registered Nurse, following which an individual has the option to choose to complete a postgraduate course to go onto qualify as a health visitor.</p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277600 277602 question first answered 25/07/2019 10:01:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	114 label Biography information for Tim Loughton

1139451

registered interest
date	16/07/2019
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 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 steps his Department has taken to measure the adequacy of the health visitor workforce to implement the Healthy Child Programme.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	277602
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Government wants children to get the best start in life, recognising the lasting impact this has on health outcomes and life chances. The Department is working in partnership with Public Health England, the National Health Service and Local Government Association to modernise the Healthy Child Programme, with an initial focus on the first 1,001 days and early years, to improve a range of childhood outcomes including early development and school readiness. Health visitors, with other professionals, have an essential role supporting babies and their families.</p><p>The Interim People Plan, published in June, sets out the vision for people who work in the NHS to enable them to deliver the NHS Long Term Plan. Within this are specific plans for supporting community nurses, through growing pre-registration clinical placement capacity, a clear emphasis on high-quality learning experiences being provided within community settings. There is also a clear commitment to work with partners to identify how to support growth in the community workforce including district nursing, general practice nursing, health visitors and school nursing.</p><p>A Specialist Community and Public Health Nurse apprenticeship (Level 7) is currently in development. This will offer an alternative route directly into the health visiting profession. There are also nursing apprenticeship pathways currently in place to become a Registered Nurse, following which an individual has the option to choose to complete a postgraduate course to go onto qualify as a health visitor.</p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277600 277601 question first answered 25/07/2019 10:01:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	114 label Biography information for Tim Loughton

1139561

registered interest
date	16/07/2019
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	Medicine: Research
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the amount of research and development funding required by organisations involved in (1) health research, and (2) data-driven health research, in the UK.
tabling member printed	Lord Freyberg
uin	HL17208
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Department’s National Institute for Health Research (NIHR) budget for 2019/20 is just over £1 billion and welcomes funding applications for research into any aspect of human health. The NIHR funds research projects, training and research infrastructure. 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>The NIHR also is a co-funder of Health Data Research UK who are committed to uniting the United Kingdom’s health data to enable discoveries and ensure that every health and care interaction and research endeavour will be enhanced by access to large scale data and advanced analytics. The NIHR also supports a number of initiatives to help researchers to access health data, samples and to identify participants for research.</p><p>The future of budgets outside of the NHS England resource settlement, including capital budgets for research and development, will be confirmed later this year at the Spending Review 2019.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 25/07/2019 11:15:13 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2593 label Biography information for Lord Freyberg

1139578

registered interest
date	16/07/2019
answering body	Ministry of Defence
answering dept id	11
answering dept short name	Defence
answering dept sort name	Defence
hansard heading	Nuclear Submarines: Anniversaries
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many ministers attended the commemoration of 50 years of Continuous At Sea Deterrence held at HM Naval Base Clyde (Faslane) on Friday 5 July.
tabling member printed	Lord Robertson of Port Ellen
uin	HL17225
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>No Ministers attended the commemoration of the 50th anniversary of the Continuous at Sea Deterrent held at HM Naval Base Clyde on 5 July. This event, held at the home of the deterrent, was designed to focus on the families and personnel of the deterrent enterprise. The principal national commemorative event took place on 3 May in Westminster Abbey and was attended by the Rt Hon Penny Mordaunt MP, the then Secretary of State for Defence, and the Rt Hon Liam Fox MP, the then Secretary of State for International Trade. I also had the pleasure of attending.</p> answering member printed Earl Howe question first answered 25/07/2019 13:46:01 answering member 2000 label Biography information for Earl Howe
tabling member	672 label Biography information for Lord Robertson of Port Ellen

1139584

registered interest
date	16/07/2019
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	Surgery: Training
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the benefits of introducing virtual reality learning to (1) aid surgical training, and (2) practice pioneering operations.
tabling member printed	Lord Taylor of Warwick
uin	HL17231
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>Health Education England (HEE)’s technology enhanced learning (TEL) Programme has developed a national framework for the delivery of simulation-based education. This framework is now in place and being applied across the country.</p><p>Part of this work has involved extensive stakeholder engagement and through this engagement, a number of examples of where virtual reality has successfully been used to support learning have emerged. In particular, HEE East of England is piloting facilitated virtual reality learning for 1,200 Foundation Programme trainee doctors in 20 critical emergency scenarios in the East of England. This enables real time practice in a safe simulated environment with both facilitated supervised training and also personal unlimited access. A careful evaluation will be carried out, looking at both the trainee experience of learning through virtual reality and their subsequent improvement in confidence in urgent care management.</p><p>In addition, the TEL Programme has supported the development of a virtual reality lab in Torbay, which is now in its second year. Successful examples of virtual reality in distraction therapy have emerged, particularly in paediatrics and podiatry, with clear benefits to patients undergoing the clinical intervention and costs savings because of the reduction in general anaesthetics.</p><p>The TEL Programme has now set up an academic partnership with Leeds Institute and through this partnership, will be developing a set of principles for the use of virtual reality in education and training. Through this work, the TEL Programme will be developing a cohesive approach for evaluation of outcomes, which will then enable consistency in evidence gathering.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/07/2019 16:46:10 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1796 label Biography information for Lord Taylor of Warwick