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668947

registered interest
date	06/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Organs: British Nationals Abroad
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to prevent British citizens from receiving organs overseas from the forced organ harvesting trade.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	58668
answer	answer is ministerial correction date of answer 16/01/2017 answer text <p>The Government supports the establishment of lawful and ethical organ donation and transplantation programmes to address the world-wide shortage of organs for transplant and a range of action to discourage organ trafficking, transplant tourism and commercialism. The United Kingdom formally signed the Council of Europe Convention Against Trafficking in Human Organs on 25 March 2015 and has laws and protocols in place to ensure well-regulated practice to prevent organ trafficking in the UK.</p><p> </p><p>The Government supports the Declaration of Istanbul, which encourages all countries to draw up legal and professional frameworks to govern organ donation and transplantation activities. We have also participated in the development of the World Health Organization Guiding Principles to ensure that human material removed from deceased and living donors for the purpose of transplantation only takes place according to agreed ethical principles.</p><p> </p><p>Patients receiving transplants outside the UK will be subject to the relevant regulatory regime in place and should be aware of the risks, including possible prosecution for non-compliance with relevant local and international provisions, poor donor care, poorer graft survival, infection and in extreme cases, death.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 16/01/2017 16:57:10 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	151 label Biography information for Tom Brake

668958

registered interest
date	06/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: GP Practice Lists
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the GP-to-patient ratio is in (a) North Lancashire Community Care Group (CCG), (b) Blackpool, Fylde and Wyre CCG and (c) England.
tabling member constituency	Lancaster and Fleetwood
tabling member printed	Cat Smith
uin	58856
answer	answer is ministerial correction date of answer 16/01/2017 answer text <p>The information requested is in the attached document.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 16/01/2017 17:09:11 answering member 4080 label Biography information for David Mowat attachment 1 file name PQ58856 GP-Patient Ratio 11th Jan.xlsx title GP to patient ratio
tabling member	4436 label Biography information for Cat Smith

668979

registered interest
date	06/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Electronic Government: Welsh Language
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he has taken to improve provision of services available in the Welsh language on the gov.uk website.
tabling member constituency	Arfon
tabling member printed	Hywel Williams
uin	58940
answer	answer is ministerial correction date of answer 16/01/2017 answer text <p>The health and care system in Wales is devolved. The majority of health services information for Wales is published on the Welsh National Health Service website:</p><p><a href="http://www.wales.nhs.uk" target="_blank">www.wales.nhs.uk</a></p><p> </p><p>or the Welsh Government’s website:</p><p><a href="http://gov.wales/topics/health/" target="_blank">http://gov.wales/topics/health/</a></p><p> </p><p>If the Department is responsible for producing any policy content or guidance that directly affects Wales we would commission translation services and provide the content in both Welsh and English on:</p><p><a href="http://www.gov.uk" target="_blank">www.gov.uk</a></p><p>For example, the United Kingdom Chief Medical Officers’ recent <a href="https://www.gov.uk/government/consultations/health-risks-from-alcohol-new-guidelines" target="_blank">alcohol guidance report</a> was published in both languages.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 16/01/2017 17:20:31 answering member 4080 label Biography information for David Mowat
tabling member	1397 label Biography information for Hywel Williams

668981

registered interest
date	06/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department and Public Health England have to bring together all clinical guidance on HIV support to ensure that advice is readily available to local authorities, clinical commissioning groups and NHS England.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	58920
answer	answer is ministerial correction date of answer 16/01/2017 answer text <p>Local authorities have for many years been responsible for HIV social care services and no changes were made to these arrangements by the Health and Social Care Act 2012. Funding of HIV social care services also sits outside the public health ring-fenced grant.</p><p> </p><p>The British HIV Association, working in partnership with care providers, professional associations, commissioners and people living with HIV, produced in 2013, a set of quality standards for the care of people with HIV in the United Kingdom which are available at:</p><p><a href="http://www.bhiva.org/standards-of-care-2013.aspx" target="_blank">http://www.bhiva.org/standards-of-care-2013.aspx </a></p><p>The standards cover 12 key themes, prioritised as being the most important issues for the care of people with HIV. Derived from the best available evidence, the standards focus on aspects of care that have particular relevance for delivering equitable high-quality services that secure the best possible outcomes for people with HIV.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 58919 question first answered 16/01/2017 17:06:25 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1521 label Biography information for Mrs Sharon Hodgson

668982

registered interest
date	06/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department plans to amend the Health and Social Care Act 2012 to provide clearer guidance on the provision of HIV support services by local authorities, clinical commissioning groups and NHS England.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	58919
answer	answer is ministerial correction date of answer 16/01/2017 answer text <p>Local authorities have for many years been responsible for HIV social care services and no changes were made to these arrangements by the Health and Social Care Act 2012. Funding of HIV social care services also sits outside the public health ring-fenced grant.</p><p> </p><p>The British HIV Association, working in partnership with care providers, professional associations, commissioners and people living with HIV, produced in 2013, a set of quality standards for the care of people with HIV in the United Kingdom which are available at:</p><p><a href="http://www.bhiva.org/standards-of-care-2013.aspx" target="_blank">http://www.bhiva.org/standards-of-care-2013.aspx </a></p><p>The standards cover 12 key themes, prioritised as being the most important issues for the care of people with HIV. Derived from the best available evidence, the standards focus on aspects of care that have particular relevance for delivering equitable high-quality services that secure the best possible outcomes for people with HIV.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 58920 question first answered 16/01/2017 17:06:25 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1521 label Biography information for Mrs Sharon Hodgson

668992

registered interest
date	06/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many GPs in England have specialised in mental health; and how many mental health workers are attached to GP practices in England.
tabling member constituency	North Warwickshire
tabling member printed	Craig Tracey
uin	58683
answer	answer is ministerial correction date of answer 16/01/2017 answer text <p>This information is not collected centrally.</p><p> </p><p>In the <em>General Practice Forward View</em>, NHS England have committed to invest an extra 3,000 mental health therapists to be working in primary care by 2020 to support localities to expand the Improving Access to Psychological Therapies programme.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 16/01/2017 17:42:14 answering member 4080 label Biography information for David Mowat
tabling member	4509 label Biography information for Craig Tracey

668994

registered interest
date	06/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ovarian Hyperstimulation Syndrome
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many incidents of hospitalisation due to ovarian hyperstimulation syndrome have been reported to the Human Fertilisation and Embryology Authority (HFEA); and what steps the HFEA is taking to ensure that all suspected serious adverse reactions are reported to the Medicines and Healthcare Products Regulatory Agency.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	58664
answer	answer is ministerial correction date of answer 16/01/2017 answer text <p>The information on the number of incidents of hospitalisation and adverse incidents due to ovarian hyperstimulation syndrome (OHSS) reported to the Human Fertilisation and Embryology Authority (HFEA) could only be obtained at disproportionate cost.</p><p> </p><p>The HFEA has advised that severe or critical cases of OHSS are treated as adverse incidents. A clinic must submit an incident report to the HFEA whenever it is made aware of a case of OHSS requiring a hospital admission, that has a severity grading of severe or critical. The HFEA would expect the clinic to review the patient’s drug stimulation regime, treatment and predisposing factors for OHSS, and to revise its practice and protocols where appropriate. This review is expected to be submitted to the HFEA within 10 working days from the date the incident was reported. The clinic’s report is reviewed by the Authority’s inspectorate and the clinical governance lead and, where appropriate, further enforcement action may be taken or relevant authorities contacted. Should there be unexpected adverse drug reactions not associated with a particular drug regime, these should be reported to Medicines and Healthcare Products Regulatory Agency (MHRA), by the patient’s clinician, under the MHRA’s Yellow Card scheme.</p><p> </p><p>The Yellow Card scheme enables clinicians to help improve medicines safety by reporting all suspected adverse drug reactions to MHRA. The scheme is focused on healthcare professionals and patients rather than regulatory bodies. The HFEA does not separately report adverse drug reactions to MHRA.</p><p> </p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 58673 58674 question first answered 16/01/2017 17:16:13 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3958 label Biography information for Fiona Bruce

668995

registered interest
date	06/01/2017
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, what estimate he has made of the number of human eggs that would be required annually for (a) pro-nuclear transfer and (b) maternal spindle transfer should the NHS provide mitochondrial transfer.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	58665
answer	answer is ministerial correction date of answer 16/01/2017 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that no estimate has been made of the number of human eggs that would be required annually for the maternal spindle transfer (MST) and pronuclear transfer (PNT) mitochondrial donation techniques. The number of eggs required will depend on the number of clinics who are licensed to perform the techniques, the number of patients they treat and the number of eggs required in the treatment of each patient.</p><p> </p><p>The independent expert panel convened by the HFEA published its fourth review into the safety and efficacy of mitochondrial donation on 30 November 2016. The expert panel made a number of recommendations on the potential avenues for laboratory research around mitochondrial donation techniques, which the HFEA supports.</p><p> </p><p>In terms of any subsequent treatments which may be offered, Regulations made under the Human Fertilisation and Embryology Act 1990, as amended, only permit the MST and PNT techniques to be used in treatment. Further research may lead to refinement of these techniques but the clinical use of any alternative mitochondrial donation techniques would require new legislation.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 58666 question first answered 16/01/2017 17:18:07 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3958 label Biography information for Fiona Bruce

668996

registered interest
date	06/01/2017
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, what estimate he has made of the potential of (a) research into the use of mitochondrial transfer techniques and (b) subsequent treatments which may be offered on the NHS.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	58666
answer	answer is ministerial correction date of answer 16/01/2017 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that no estimate has been made of the number of human eggs that would be required annually for the maternal spindle transfer (MST) and pronuclear transfer (PNT) mitochondrial donation techniques. The number of eggs required will depend on the number of clinics who are licensed to perform the techniques, the number of patients they treat and the number of eggs required in the treatment of each patient.</p><p> </p><p>The independent expert panel convened by the HFEA published its fourth review into the safety and efficacy of mitochondrial donation on 30 November 2016. The expert panel made a number of recommendations on the potential avenues for laboratory research around mitochondrial donation techniques, which the HFEA supports.</p><p> </p><p>In terms of any subsequent treatments which may be offered, Regulations made under the Human Fertilisation and Embryology Act 1990, as amended, only permit the MST and PNT techniques to be used in treatment. Further research may lead to refinement of these techniques but the clinical use of any alternative mitochondrial donation techniques would require new legislation.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 58665 question first answered 16/01/2017 17:18:07 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3958 label Biography information for Fiona Bruce

668997

registered interest
date	06/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ovarian Hyperstimulation Syndrome
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many adverse incidents due to ovarian hyperstimulation syndrome have been reported by the Human Fertilisation and Embryology Authority to the Medicines and Healthcare Products Regulatory Agency in each year since 1991.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	58673
answer	answer is ministerial correction date of answer 16/01/2017 answer text <p>The information on the number of incidents of hospitalisation and adverse incidents due to ovarian hyperstimulation syndrome (OHSS) reported to the Human Fertilisation and Embryology Authority (HFEA) could only be obtained at disproportionate cost.</p><p> </p><p>The HFEA has advised that severe or critical cases of OHSS are treated as adverse incidents. A clinic must submit an incident report to the HFEA whenever it is made aware of a case of OHSS requiring a hospital admission, that has a severity grading of severe or critical. The HFEA would expect the clinic to review the patient’s drug stimulation regime, treatment and predisposing factors for OHSS, and to revise its practice and protocols where appropriate. This review is expected to be submitted to the HFEA within 10 working days from the date the incident was reported. The clinic’s report is reviewed by the Authority’s inspectorate and the clinical governance lead and, where appropriate, further enforcement action may be taken or relevant authorities contacted. Should there be unexpected adverse drug reactions not associated with a particular drug regime, these should be reported to Medicines and Healthcare Products Regulatory Agency (MHRA), by the patient’s clinician, under the MHRA’s Yellow Card scheme.</p><p> </p><p>The Yellow Card scheme enables clinicians to help improve medicines safety by reporting all suspected adverse drug reactions to MHRA. The scheme is focused on healthcare professionals and patients rather than regulatory bodies. The HFEA does not separately report adverse drug reactions to MHRA.</p><p> </p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 58664 58674 question first answered 16/01/2017 17:16:13 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3958 label Biography information for Fiona Bruce