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1131994

registered interest
date	13/06/2019
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	Ovarian Cancer: Contraceptives
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 discussions he has had with the Royal College of Nursing on use of the contraceptive pill to reduce the chances of ovarian cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	264404
answer	answer is ministerial correction date of answer 21/06/2019 answer text <p>No such discussions have taken place. Any treatment available on the National Health Service is in line with the appropriate clinical guidelines from the National Institute for Health and Care Excellence.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/06/2019 10:32:36 answering member 4455 label Biography information for Seema Kennedy
tabling member	4131 label Biography information for Jim Shannon

1132034

registered interest
date	13/06/2019
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	Primary Care Networks: Rural Areas
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has carried out a rural proofing review of the implementation of primary care networks.
tabling member constituency	Newton Abbot
tabling member printed	Anne Marie Morris
uin	264405
answer	answer is ministerial correction date of answer 21/06/2019 answer text <p>Recognising the specific circumstances faced by some rural practices, there are additional flexibilities. NHS England has explicitly allowed rurality as an exception for meeting the definition of a Primary Care Networks. As set out in the Network Contract Direct Enhanced Service (DES) (under paragraph 3.2) commissioners may waiver the 30,000 minimum population “where a PCN serves a natural community which has a low population density across a large rural and remote area”. Further information is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/03/network-contract-des-specification-2019-20-v1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/03/network-contract-des-specification-2019-20-v1.pdf</a></p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/06/2019 11:16:38 answering member 4455 label Biography information for Seema Kennedy
tabling member	4249 label Biography information for Anne Marie Morris

1132036

registered interest
date	13/06/2019
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	Primary Care Networks
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what criteria his Department plans to use to assess Primary Care Networks’ engagement with local communities.
tabling member constituency	Newton Abbot
tabling member printed	Anne Marie Morris
uin	264407
answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>For Primary Care Networks (PCNs) to be successful they will need to work in partnership with local people and the communities they serve. NHS England does have a statutory duty to undertake an annual assessment of clinical commissioning groups’ (CCGs) performance, as part of the CCG Improvement and Assessment Framework (IAF). One of the indicators assessed is patient and community engagement. All NHS service providers, including general practitioner practices, have legal duties to engage with local authority health scrutiny about changes which may be considered substantial. These duties which currently apply to NHS service providers and commissioners around engagement and consultation will continue to be valid.</p><p>Further information on the IAF is available on the NHS England website at the following link:</p><p><a href="https://www.england.nhs.uk/commissioning/regulation/ccg-assess/" target="_blank">https://www.england.nhs.uk/commissioning/regulation/ccg-assess/</a></p><p>Results from the assessments are published on ‘MyNHS’ at the following link:</p><p><a href="https://www.nhs.uk/service-search/performance-indicators/organisations/ccg-year-end-2015-assurance-assessment" target="_blank">https://www.nhs.uk/service-search/performance-indicators/organisations/ccg-year-end-2015-assurance-assessment</a></p><p>The assessments made are in line with the document ‘Patient and public participation in commissioning health and care: statutory guidance for CCGs and NHS England’, which is at the following link:</p><p><a href="https://www.england.nhs.uk/publication/patient-and-public-participation-in-commissioning-health-and-care-statutory-guidance-for-ccgs-and-nhs-england/" target="_blank">https://www.england.nhs.uk/publication/patient-and-public-participation-in-commissioning-health-and-care-statutory-guidance-for-ccgs-and-nhs-england/</a></p><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 20/06/2019 15:40:56 answering member 4455 label Biography information for Seema Kennedy
tabling member	4249 label Biography information for Anne Marie Morris

1132104

registered interest
date	13/06/2019
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	MMR Vaccine
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 correlation between falling rates of vaccination for measles, mumps and rubella and the increased incidence of those conditions.
tabling member constituency	Wolverhampton North East
tabling member printed	Emma Reynolds
uin	264387
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>There has been an increase in cases of measles since the end of 2017 with close to 1,000 cases reported in 2018. However, the majority of these cases (628/966, 65%) are in individuals aged less than one year old and over 15 years i.e. those not in recently vaccinated age cohorts. Data is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/measles-mumps-and-rubella-laboratory-confirmed-cases-in-england-2018" target="_blank">https://www.gov.uk/government/publications/measles-mumps-and-rubella-laboratory-confirmed-cases-in-england-2018</a></p><p>An increase in mumps activity was observed in England in the first quarter (Q1) of 2019 with 795 laboratory confirmed mumps infections. Almost half (352/795, 44%) of the cases in Q1 were in unvaccinated individuals. This data can be viewed at the following link:</p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804024/hpr1819_mmr2.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804024/hpr1819_mmr2.pdf</a></p><p>The World Health Organization confirmed that the United Kingdom had eliminated rubella in 2015. Between 2013-18 there were only 10 laboratory confirmed cases in England. This data can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/publications/rubella-confirmed-cases/rubella-notifications-and-confirmed-cases-by-oral-fluid-testing-in-england-2013-to-2014-by-quarter" target="_blank">https://www.gov.uk/government/publications/rubella-confirmed-cases/rubella-notifications-and-confirmed-cases-by-oral-fluid-testing-in-england-2013-to-2014-by-quarter</a></p><p>Nearly all these cases have been in individuals born abroad and were not eligible to receive rubella containing vaccine in United Kingdom.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/06/2019 16:57:13 answering member 4455 label Biography information for Seema Kennedy previous answer version 123818 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
tabling member	4077 label Biography information for Emma Reynolds

1132109

registered interest
date	13/06/2019
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: Economic Situation
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 study entitled Recession, recovery and suicide in mental health patients in England: time trend analysis, published in the British Journal of Psychiatry on 13 June 2019, what assessment he has made of the effect of economic pressures on male adults' mental health; and what steps he is taking to provide support and targeted interventions for patients experiencing financial difficulties.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	264352
answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>The Government recognises the impact that debt and financial difficulty can have on men’s mental health and wellbeing and that men are at a higher risk of suicide.</p><p> </p><p>The National Suicide Prevention Strategy highlights groups that need tailored approaches to address their mental health needs to reduce their suicide risk, including men. Every local authority has a suicide prevention plan in place and we are investing £25 million over the next three years to support these local plans. We have worked with NHS England and Public Health England to ensure that this funding is used to test different approaches to reaching men in local communities.</p><p> </p><p>We are working with the local government sector to assess the effectiveness of those plans, and a report will be published shortly that will highlight areas of best practice and areas for improvement. This report will include an analysis of the extent to which local authority plans are addressing high risk groups.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/06/2019 16:40:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price previous answer version 123848 answering member constituency Thurrock answering member printed Jackie Doyle-Price answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1436 label Biography information for Paul Farrelly

1132149

registered interest
date	13/06/2019
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	Pregabalin: Safety
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 study by Oxford University on links between pregabalin and epilepsy, what recent assessment his Department has made of the safety of the epilepsy drug pregabalin.
tabling member constituency	Morley and Outwood
tabling member printed	Andrea Jenkyns
uin	264440
answer	answer is ministerial correction date of answer 21/06/2019 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) continuously monitors the safety of all medicines on the market in the United Kingdom and seeks independent expert advice from the Commission on Human Medicines and its advisory groups on important new safety issues.</p><p>The MHRA is aware of the study by Molero et al published in the BMJ on 12 June 2019 which suggests that gabapentinoid medicines, pregabalin and gabapentin, are associated with an increased risk of suicidal behaviour, unintentional overdoses, head/body injuries and road traffic incidents and offences.</p><p>Pregabalin is authorised for the treatment of epilepsy, neuropathic pain and generalised anxiety disorder. Pregabalin is recognised to be associated with a range of possible side effects including dizziness, somnolence, loss of consciousness, confusion and mental impairment which could explain the increased risk of injuries and traffic accidents identified in this new study.</p><p>The product information for pregabalin currently contains relevant warnings regarding suicidal ideation and behaviour, possible side effects, as well as the possible effects on driving and operating machinery. The MHRA will carefully consider this new study and whether new advice needs to be issued to healthcare professionals and patients.</p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/06/2019 10:24:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4490 label Biography information for Dame Andrea Jenkyns

1132150

registered interest
date	13/06/2019
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	Dementia: Diagnosis
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 improve the diagnosis of dementia.
tabling member constituency	Morley and Outwood
tabling member printed	Andrea Jenkyns
uin	264467
answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>The Challenge on Dementia 2020 sets out the ambition for two thirds of people with dementia to receive a formal diagnosis. This has been achieved and exceeded nationally. Our focus now is on reducing the variation in local diagnosis rates and NHS England have published guidance and put programmes in place to further improve the quality and timeliness of diagnosis across the country.</p><p> </p><p>NHS Digital collects data on the number of patients with a recorded dementia diagnosis in their clinical record and report this on a monthly basis, so that the National Health Service (general practitioners and commissioners) can make informed choices about how to plan their services around their patient’s needs. The data is available at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/recorded-dementia-diagnoses" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/recorded-dementia-diagnoses</a></p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 264469 question first answered 20/06/2019 10:41:15 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4490 label Biography information for Dame Andrea Jenkyns

1132152

registered interest
date	13/06/2019
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	Dementia: Diagnosis
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 the level of older people diagnosed with dementia.
tabling member constituency	Morley and Outwood
tabling member printed	Andrea Jenkyns
uin	264469
answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>The Challenge on Dementia 2020 sets out the ambition for two thirds of people with dementia to receive a formal diagnosis. This has been achieved and exceeded nationally. Our focus now is on reducing the variation in local diagnosis rates and NHS England have published guidance and put programmes in place to further improve the quality and timeliness of diagnosis across the country.</p><p> </p><p>NHS Digital collects data on the number of patients with a recorded dementia diagnosis in their clinical record and report this on a monthly basis, so that the National Health Service (general practitioners and commissioners) can make informed choices about how to plan their services around their patient’s needs. The data is available at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/recorded-dementia-diagnoses" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/recorded-dementia-diagnoses</a></p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 264467 question first answered 20/06/2019 10:41:16 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4490 label Biography information for Dame Andrea Jenkyns

1132153

registered interest
date	13/06/2019
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	Patients: Death
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 Learning from Deaths Programme.
tabling member constituency	Morley and Outwood
tabling member printed	Andrea Jenkyns
uin	264470
answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>Since its establishment in 2017, the national Learning from Deaths (LfD) Programme Board has overseen significant progress across several areas, benefiting from the inclusion of family representatives providing valued personal perspective and challenge.</p><p>This includes national guidance (on ‘Learning from Deaths’ and ‘working with bereaved families and carers’); greater scrutiny of the care provided to individuals with learning disabilities and mental health needs; legislation to mandate avoidable mortality reporting by trusts, as well as lessons learned and improvements made; and strengthened regulatory support and oversight of providers, including by the Care Quality Commission (CQC) through assessment of trusts learning from deaths as part of its inspection activity.</p><p>In May 2019, the CQC published its review of the first year of trusts implementing the LfD national guidance. The review highlighted that trusts are at different stages of implementation, and we remain committed to enabling trusts to develop a strong safety and learning culture when responding to deaths.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 20/06/2019 10:47:30 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4490 label Biography information for Dame Andrea Jenkyns

1132160

registered interest
date	13/06/2019
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	Autism: Secure Accommodation
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 increase the number of safe accommodations for children with severe forms of autism.
tabling member constituency	Morley and Outwood
tabling member printed	Andrea Jenkyns
uin	264476
answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>The Government is committed to improving how care and support is provided for autistic people, including for autistic children and young people. We are reviewing our autism strategy to ensure it remains fit for purpose, and working closely with the Department for Education, we are extending the scope of the strategy to include children. The refreshed ‘all age’ autism strategy is due to be published by the end of this year.</p><p>It is essential that autistic children get the right care and support, in the right setting and at the right time to meet their needs. Under the Children and Families Act 2014, health, education and social care providers must work together to make this happen.</p><p>Autistic children should only be admitted to hospital where absolutely necessary, for assessment and treatment of their needs and for as short a time as possible. The Long Term Plan for the National Health Service in England continues the work begun in 2015 to implement the ‘Building the Right Support’ plan by building capacity and services in the community in order to reduce reliance on inpatient care for people with a learning disability, and for autistic people.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 20/06/2019 10:49:50 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4490 label Biography information for Dame Andrea Jenkyns