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347387

registered interest
date	28/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF: Costs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the cost of implementing in full the guidance issued by NICE in 2013 on in-vitro fertilisation; and on what basis of calculation that estimate was reached.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	434
answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>The commissioning of fertility services is the responsibility of clinical commissioning groups.</p><p> </p><p> </p><p> </p><p>We expect all those involved in commissioning infertility treatment services to be fully aware of the importance of having regard to the National Institute for Health and Care Excellence (NICE) fertility guidelines.</p><p> </p><p> </p><p> </p><p>The Department has made no estimate of the cost to the National Health Service of implementing the NICE Guideline for Fertility published in February 2013.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 435 question first answered 02/06/2015 13:53:45 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

347388

registered interest
date	28/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will take steps to reduce geographical inequalities in provision of in-vitro fertilisation treatment.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	435
answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>The commissioning of fertility services is the responsibility of clinical commissioning groups.</p><p> </p><p> </p><p> </p><p>We expect all those involved in commissioning infertility treatment services to be fully aware of the importance of having regard to the National Institute for Health and Care Excellence (NICE) fertility guidelines.</p><p> </p><p> </p><p> </p><p>The Department has made no estimate of the cost to the National Health Service of implementing the NICE Guideline for Fertility published in February 2013.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 434 question first answered 02/06/2015 13:53:45 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

347389

registered interest
date	28/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Paracetamol: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will issue guidance to parents and teachers warning them of the dangers of the internet dare known as the paracetemol challenge, in which children reportedly attempt to consume larger quantities of that medication.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	436
answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>Taking paracetamol in quantities which exceed the recommended dose is extremely dangerous. It can cause irreparable damage to the liver and can be fatal. All medicines, including those bought over-the-counter, must be used responsibly and as advised in the information provided with the medicine. Packs of paracetamol have warnings that medical advice should be sought immediately in the event of an overdose, even if the person feels well.</p><p> </p><p> </p><p> </p><p>There is a restriction on the quantity of paracetamol tablets/capsules in a pack (16 tablets for sale from general retail outlets, e.g. a supermarket and 32 tablets for sale from pharmacists).</p><p> </p><p> </p><p> </p><p>There is also guidance for retailers not to sell more than two packs in one transaction to strongly discourage multiple sales and multibuy promotions. It is illegal to sell more than 100 tablets or capsules of either paracetamol or aspirin in any one retail transaction. Retailers are advised to exercise their judgement in deciding whether it is appropriate to sell to a child, bearing in mind that medicines are labelled to the effect that they should be kept out of reach and sight of children and that many products are not recommended for use by children.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 02/06/2015 15:22:11 answering member 4020 label Biography information for George Freeman
tabling member	4036 label Biography information for Luciana Berger

347390

registered interest
date	28/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what comparative assessment he has made of the speed with which (a) GPs in the UK and (b) their equivalents in other countries refer patients who might have cancer; and what steps he is taking to speed up cancer referrals.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	437
answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>Early diagnosis of cancer is a major priority in helping us to improve cancer survival. That is why information on general practitioner (GP) referral rates for suspected cancer is already available and we will continue to support GPs to do more. More than 1.5 million people were urgently referred last year, an increase of 71% compared to 2009-10.</p><p> </p><p> </p><p> </p><p>NHS England is working jointly with Cancer Research UK and Macmillan Cancer Support to test seven new approaches to identifying cancer more quickly. The aim is to evaluate a number of initiatives across more than 60 sites around the country to collect evidence about what makes the most difference to patients.</p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care Excellence is in the process of updating the “Referral Guidelines for Suspected Cancer” (2005) to ensure that it reflects latest evidence and can continue to support GPs to identify patients with the symptoms of suspected cancer, and urgently refer them as appropriate.</p><p> </p><p><strong> </strong></p><p> </p><p>We will continue to support Be Clear on Cancer campaigns to improve public awareness of the signs/symptoms and risks of cancer and to urge people with signs or symptoms to visit their GP promptly.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/06/2015 13:34:40 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

347391

registered interest
date	28/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Self-harm: Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to reduce the incidence of self-harm amongst children and young people.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	438
answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>Self-harm is a symptom of serious emotional distress which must be acted upon to ensure children and young people get the help they need.</p><p> </p><p> </p><p> </p><p>This Government is committed to making children and young people’s mental health a high priority. The Children and Young People's Improving Access to Psychological Therapies programme is being expanded to cover additional areas of clinical practice, and extended so that by 2018 children and young people across England will have access. This will involve additional clinical staff being trained in the most effective evidence based treatment for self-harm, depression and anxiety.</p><p> </p><p> </p><p> </p><p>The Department funds the multicentre study of self-harm, which provides monitoring data on self-harm including children and young people, and underpins knowledge about self-harm in England. The National Institute for Health and Care Excellence guidelines on the short term and longer term management of self-harm cite many outputs from the study.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 02/06/2015 13:46:29 answering member 1201 label Biography information for Alistair Burt
tabling member	4036 label Biography information for Luciana Berger

346901

registered interest
date	27/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity: Babies and Pregnant Women
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will focus his Department's anti-obesity strategy on pregnant women and babies.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	296
answer	answer is ministerial correction date of answer 01/06/2015 answer text <p>Tackling obesity, particularly in children, is one of our major priorities and we know that pregnancy and early years are one of the many influences on children’s weight. Progress has been made in recent years, but we know we have much further to go and we will put forward our plans in due course.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 298 question first answered 01/06/2015 13:50:37 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

346902

registered interest
date	27/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Public Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to reform the Responsibility Deal.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	297
answer	answer is ministerial correction date of answer 01/06/2015 answer text <p>Improving public health requires collective action by all – government, businesses and individuals. Under the Public Health Responsibility Deal, 780 organisations committed to actions which are having a significant impact in improving the nation’s health and enabling people to make healthier choices. As the Government develops its priorities, we will expect to continue working in partnership with organisations across all sectors to ensure that we collectively can make the greatest impact on individuals’ health.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/06/2015 14:39:10 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

346903

registered interest
date	27/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he plans to take to tackle childhood obesity.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	298
answer	answer is ministerial correction date of answer 01/06/2015 answer text <p>Tackling obesity, particularly in children, is one of our major priorities and we know that pregnancy and early years are one of the many influences on children’s weight. Progress has been made in recent years, but we know we have much further to go and we will put forward our plans in due course.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 296 question first answered 01/06/2015 13:50:37 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

229127

registered interest
date	23/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Smoking
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to statistics on NHS Stop Smoking Services, England - April 2014 to September 2014, published by the Health and Social Care Information Centre in January 2015, what assessment he has made of the factors that have contributed to the decline in the number of people who have reported stopping smoking through an NHS Stop Smoking Service.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	228776
answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>Whilst no formal assessment has been made of the reduction in the numbers accessing local stop smoking services, as the proportion of the population who smoke declines, there will be a smaller pool of people who might choose to access these services.</p><p> </p><p> </p><p> </p><p>Electronic cigarettes (or nicotine vapourisers) have become an increasingly popular way of quitting.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 26/03/2015 15:21:17 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

229140

registered interest
date	23/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Illness: Suicide
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many patients discharged from mental health in-patient care have taken their own life within (a) one week and (b) two weeks of that discharge in each year since 2010; and how many investigations have been undertaken into those deaths.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	228774
answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>The first three months after discharge remain a time of particularly high suicide risk – this is especially true in the first 1-2 weeks. Between 2002 and 2012 there were 3,225 suicides in the United Kingdom by mental health patients in the post-discharge period, 18% of all patient suicides.</p><p> </p><p> </p><p> </p><p>Post-discharge suicides were most frequent in the first week after leaving hospital when 380 deaths occurred, an average of 35 per year.</p><p> </p><p> </p><p> </p><p>The number and proportion who died in the first week after discharge has not changed over the report period.</p><p> </p><p> </p><p> </p><p>380 of the 3,225 people counted as post-discharge suicides between 2002-12 died in the first week after leaving hospital. 292 people died in the second week.</p><p> </p><p> </p><p> </p><p>The total number of people who died within three months of in-patient discharge is, as follows:</p><p> </p><p> </p><p> </p><p>2010: 202</p><p> </p><p>2011: 220</p><p> </p><p>2012: 177 (estimate)</p><p> </p><p> </p><p> </p><p>We have reviewed the serious incident framework (due to be launched for April 2015) to support better recognition, reporting and investigation of serious incidents (which would include suicide/ self-inflicted death, but also other serious incidents affecting people with mental health needs). We are also exploring changes to the Serious Incident reporting system (STEIS) database to enable incidents, risks, trends and opportunities for learning to be more easily identified.</p><p> </p><p><strong> </strong></p><p> </p><p>This Government is seeking to change the culture that suicide is inevitable for some people. In January this year the Deputy Prime Minister announced our ambition for ‘zero suicides’. This set out an aspiration for every part of the NHS to commit to a ‘zero suicide’ ambition. This ambition has already been adopted in some local areas and we are certain that this kind of approach can work to dramatically reduce suicides.</p><p> </p><p> </p><p> </p><p>Pioneering work in Liverpool, the South-West and in the East of England means that health workers are already focusing on how they care for people with mental health conditions with a view to preventing suicide. The Deputy Prime Minister called on the health service to look at this work being done by these three pioneering areas.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/03/2015 13:00:55 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger