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1077044

registered interest
date	25/02/2019
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	NHS: Bullying
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 practice of NHS trusts of using non-disclosure agreements in cases of bullying and harassment affecting staff members.
tabling member printed	Lord Beecham
uin	HL13967
answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>No assessment has been made of the practice of National Health Service trusts using non-disclosure agreements in cases of bullying and harassment affecting staff members.</p><p>Any clause in a settlement agreement or contract of employment which purports to prevent a member of staff from a making a protected disclosure would have no legal effect. Such clauses are often referred to as ‘gagging’ clauses and have no place in the NHS. No organisation can to put such a provision in a settlement agreement or employment contract.</p><p>Since 2013, all agreements where confidentiality clauses are used, also require the inclusion of a clause which makes it crystal clear to the parties concerned, that regardless of what other clauses are used in the agreement, an individual will always be able to make a protected disclosure in the public interest and/or raise concerns about patient safety and care in accordance with their professional and ethical obligations.</p><p>The NHS Long Term Plan commits £2 million per year to tackling violence against staff and bullying in the NHS. The Plan states that “To make the NHS a consistently great place to work, we will seek to shape a modern employment culture for the NHS – promoting flexibility, wellbeing and career development, and redoubling our efforts to address discrimination, violence and bullying and harassment”.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/03/2019 16:54:03 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4181 label Biography information for Lord Beecham

1077086

registered interest
date	25/02/2019
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	Gender Dysphoria: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what consideration they have given to ensuring all children under the age of 18 who have been referred to the Tavistock and Portman NHS Foundation Trust’s Gender Identity Development Service in respect of possible gender dysphoria or reassignment participate in an independent long-term study to improve the understanding of such conditions, possible courses of treatment and support for such children.
tabling member printed	Lord Lucas
uin	HL14006
answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>The Tavistock and Portman NHS Foundation Trust has been awarded a research grant by the National Institute for Health Research to fund a LOGIC study (Longitudinal Outcomes of Gender Identity in Children) that will follow up children and young people aged 13 years and under referred to the Gender Identity Development Service (GIDS). This will look at outcomes with regard to young people’s physical health, quality of life and psychological wellbeing. The United Kingdom GIDS is the largest such service in the world and this combined with the increase in referrals in recent years means that it is uniquely positioned to undertake research of this kind.</p><p>The research will importantly investigate outcomes over time, whether children and young people and their families remain in contact with NHS services or not. This thereby investigates outcomes for the entire cohort, encompassing those in receipt of physical (hormone/endocrine) treatments and those not receiving such interventions. The findings generated from this research will help address important gaps in the evidence, enabling services to provide better and more individualized care, benefiting patients and their families.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/03/2019 15:18:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1879 label Biography information for Lord Lucas

1077121

registered interest
date	25/02/2019
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	Tooth Whitening: Regulation
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 teeth-whitening procedures are undertaken by regulated professionals.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	225505
answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>The Government is committed to improving the safety of cosmetic procedures through better training for practitioners, and clear information so that people can make informed decisions about their care.</p><p> </p><p>Teeth whitening is the practice of dentistry and teeth whitening products containing or releasing between 0.1% and 6% hydrogen peroxide can only be sold to dental practitioners.</p><p> </p><p>By law, dentistry must only be carried out by dental professionals who are registered with the General Dental Council. It is a criminal offence for anyone other than a registered dentist, or a registered dental practitioner acting under the supervision of a dentist, to offer teeth whitening.</p><p> </p><p>The General Dental Council or Trading Standards have powers to investigate and refer for prosecution unregistered individuals or businesses offering teeth whitening services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/03/2019 14:35:30 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

1077130

registered interest
date	25/02/2019
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	Chronic Fatigue Syndrome
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of people with serious fatigue syndrome in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	225514
answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>No estimate has been made. Departmental officials do not recognise the diagnosis term “serious fatigue syndrome”.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/03/2019 17:12:46 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1077132

registered interest
date	25/02/2019
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	Antimicrobials: Drug Resistance
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 his policy paper Tackling antimicrobial resistance 2019 to 2024: the UK's 5-year national action plan, whether he has made an assessment of the effect of the UK’s childhood vaccination programme on levels of anti-microbial resistance in the UK; and if he will make a statement.
tabling member constituency	Cambridge
tabling member printed	Daniel Zeichner
uin	225531
answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>‘Tackling antimicrobial resistance (2019-24): The UK’s five-year national action plan’, recognises that immunisation is one of the most effective public health interventions to prevent infection in humans and animals.</p><p> </p><p>Vaccination programmes have been successful and cost-effective in helping avert millions of cases of childhood illness, with large reductions in cases of serious infections. By reducing the burden of infection, vaccine programmes play an important role in reducing levels of antibiotic prescribing and therefore the selective pressure for the emergence and spread of antibiotic resistance.</p><p> </p><p>The childhood pneumococcal vaccine programme has led to declines in some antibiotic resistant clones of pneumococcus that are covered by the PCV13 vaccine. Also, the influenza vaccination programme helps to reduce the use of and requirement for antibiotics by reducing cases of respiratory illness and of secondary bacterial pneumonia.</p><p> </p><p>In addition, the new Joint Committee on Vaccination and Immunisation (JCVI) Healthcare Associated Infections Working Group, set up to review and provide preliminary advice to JCVI on the potential use of appropriate vaccines in the United Kingdom, will help to address this issue.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/03/2019 17:19:23 answering member 4067 label Biography information for Steve Brine
tabling member	4382 label Biography information for Daniel Zeichner

1077133

registered interest
date	25/02/2019
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	Radiology
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 adequacy of the number of trained radiologists.
tabling member constituency	Cambridge
tabling member printed	Daniel Zeichner
uin	225532
answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>Health Education England (HEE) published its first ever Cancer Workforce Plan in December 2017 which commits to the expansion of capacity and skills including an ambition to increase improved working practices, attracting qualified people back to the National Health Service through domestic and international recruitment. This will include 668 more, full time equivalent, clinical radiologists and investing in 300 reporting radiographers by 2021 to support an increase in the capacity for earlier diagnosis.</p><p>Following publication of the NHS Long Term Plan in January 2019, my Rt. hon. Friend the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key NHS interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce rapidly, including staff working on cancer, consider additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/03/2019 17:15:58 answering member 4067 label Biography information for Steve Brine
tabling member	4382 label Biography information for Daniel Zeichner

1077136

registered interest
date	25/02/2019
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	Radioisotopes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of radioisotope suppliers have confirmed that freight provisions are in place to avoid delays at ports preventing people accessing cancer treatments as a result of the UK leaving the EU without a deal.
tabling member constituency	Bermondsey and Old Southwark
tabling member printed	Neil Coyle
uin	225530
answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>Leaving the European Union with a deal remains the Government’s top priority - this has not changed. However, as a responsible Government, we must plan for every possible outcome including ‘no deal’. The Department has published guidance to industry and the health and care system to allow them to make informed plans and preparations. This is available on GOV.UK.</p><p>We are reliant on transport and freight being re-routed but are confident that, if everyone – including suppliers, freight companies, the health and care system and international partners - does what they should do, the supply of medicines and other medical products, including medical radioisotopes, will be uninterrupted.</p><p>The Department has put in place a multi-layered approach to minimise any supply disruption:</p><p>- securing, via the Department for Transport, additional roll on roll off freight capacity (away from the short straits crossings to Dover and Folkestone) for goods to continue to come into the United Kingdom from 29 March;</p><p>- asking industry to build up stockpiles in the UK before 29 March;</p><p>- buying extra warehouse space for the additional stock to be held in;</p><p>- supporting companies in booking space on aeroplanes for products which require an immediate shipment due to short shelf-life, including medical radioisotopes, or specific storage conditions;</p><p>- making changes to, or clarifications of, certain regulatory requirements so that companies can continue to sell their products in the UK even if we have ‘no deal’; and</p><p>- strengthening the processes and resources used to deal with shortages in the event that they do occur.</p><p>There is cross-Government agreement that all medicines and medical products will be prioritised on these alternative routes to ensure that the flow of all these products may continue unimpeded. For any products that require air freight, such as medical radioisotopes, we are continuing to work with suppliers to ensure this continues as normal.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 05/03/2019 14:34:21 answering member 1585 label Biography information for Stephen Hammond
tabling member	4368 label Biography information for Neil Coyle

1077148

registered interest
date	25/02/2019
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	NHS: Drugs
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 2019 Voluntary scheme for branded medicines pricing and access, what plans NHS England has to consult patient organisations on the new commercial framework which is being developed.
tabling member constituency	Enfield, Southgate
tabling member printed	Bambos Charalambous
uin	225602
answer	answer is ministerial correction date of answer 28/02/2019 answer text <p>NHS England, together with the National Institute for Health and Care Excellence, is developing a ’commercial framework’ setting out the parameters for the commercial approach for medicines in the health service in England. This framework will be tested with and informed through consultation with stakeholders. In preparation for public consultation in the coming months, NHS England is actively engaging with industry trade bodies and health system partners, in the first instance, to progress the development of the commercial framework, as set out in the 2019 Voluntary Scheme for Branded Medicines Pricing and Access.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/02/2019 16:23:38 answering member 4067 label Biography information for Steve Brine
tabling member	4610 label Biography information for Bambos Charalambous

1077149

registered interest
date	25/02/2019
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	NHS: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many occasions the ministerial board on workforce has met since it was created; if he will provide a summary of discussions and decisions taken by that board; and if he will make a statement.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	225516
answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>The Workforce Steering Group, which was chaired by the then Minister of State for Health (Rt. hon. Philip Dunne MP), met four times over the course of 2017. This group discussed issues such as the equality and diversity of the National Health Service workforce, the quality of leadership and the supply of nurses.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 05/03/2019 14:02:39 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1077155

registered interest
date	25/02/2019
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	Psychiatric Hospitals: West Midlands
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, on how many occasions were no mental health beds available for in-patient admissions in (a) Birmingham and (b) the West Midlands in each of the last five years.
tabling member constituency	Birmingham, Hodge Hill
tabling member printed	Liam Byrne
uin	225416
answer	answer is ministerial correction date of answer 28/02/2019 answer text <p>The information requested is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/02/2019 17:18:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1171 label Biography information for Liam Byrne